A nurse is caring for a client who has chronic renal disease and is receiving therapy with epoetin alfa. Which of the following laboratory results should the nurse review for an indication of a therapeutic effect of the medication?

The erythrocyte sedimentation rate (ESR)

The hematocrit (Hct)

The platelet count

The leukocyte count

Answer and Explanation

The Correct Answer is B

Choice A reason: The erythrocyte sedimentation rate (ESR) is not directly aﬀected by epoetin alfa therapy, which is used to treat anemia.

Choice B reason: Epoetin alfa stimulates erythropoiesis, leading to an increase in red blood cell production, which would be reﬂected in an increased hematocrit level.

Choice C reason: The platelet count is not directly aﬀected by epoetin alfa therapy.

Choice D reason: The leukocyte count is not directly aﬀected by epoetin alfa therapy.

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Free Nursing Study Resources

Correct Answer is ["0.5"]

Explanation

Step 1: The total amount of digoxin required per dose is 125 mcg. We need to convert this to mg because the available tablets are in mg. We know that 1 mg = 1000 mcg, so 125 mcg = 125 ÷ 1000 mg = 0.125 mg.

Step 2: Each tablet contains 0.25 mg of digoxin.

Step 3: To find out how many tablets are needed, we divide the total amount required by the amount in each tablet. So, (0.125 mg ÷ 0.25 mg/tablet).

Step 4: The result is 0.5 tablets.

So, the nurse should administer 0.5 tablets per dose. This is already rounded to the nearest tenth.

A. Diuretic use B. Hypocalcemia C. Family history D. BMI less than 25

Correct Answer is A

Explanation

Choice A reason: Diuretic use, especially thiazide diuretics, can lead to increased calcium in the urine, which is a risk

factor for the development of calcium stones.

Choice B reason: Hypocalcemia is not typically associated with an increased risk of urolithiasis. In fact, hypercalcemia can be a risk factor due to increased calcium excretion.

Choice C reason: A family history of kidney stones is a known risk factor for urolithiasis, as genetic factors can in?uence stone formation.

Choice D reason: A BMI less than 25 is generally not considered a risk factor for urolithiasis; higher BMI levels have been associated with an increased risk.

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A nurse is caring for a client who has chronic renal disease and is receiving therapy with epoetin alfa. Which of the following laboratory results should the nurse review for an indication of a therapeutic effect of the medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has heart failure and a prescription for digoxin 125 mcg PO daily. Available is digoxin PO 0.25 mg/tablet. How many tablets should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["0.5"]

Explanation

A nurse is caring for a client who has a new diagnosis of urolithiasis. Which of the following should the nurse identify as an associated risk factor?

Correct Answer is A

Explanation

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