A nurse is planning to administer epoetin alfa subcutaneously to a client who has anemia. Which of the following actions should the nurse take?

Monitor the client for hypotension.

Inject at a 15-degree angle.

Check the client’s hemoglobin level.

Administer the medication in the deltoid.

Answer and Explanation

The Correct Answer is C

A. Monitor the client for hypotension is not specifically required for epoetin alfa administration. Hypotension is not a common adverse effect of this medication.
B. Inject at a 15-degree angle is incorrect. Subcutaneous injections are typically administered at a 45 to 90-degree angle, not 15 degrees.
C. Check the client’s hemoglobin level is essential before administering epoetin alfa. Epoetin alfa stimulates red blood cell production, and monitoring hemoglobin levels helps assess the effectiveness and safety of the treatment.
D. Administer the medication in the deltoid is not the preferred site for subcutaneous injections. Epoetin alfa is usually administered in the abdomen or thigh.

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Correct Answer is D

Explanation

A. Increased appetite can be a positive sign but is not a direct indicator of spironolactone’s effectiveness in treating cirrhosis-related complications.
B. Decreased jaundice is a positive sign but is not the primary indicator of spironolactone’s effectiveness. Jaundice is more directly related to liver function.
C. Increased energy can indicate overall improvement but is not specific to the effects of spironolactone.
D. Decreased ascites is a direct indicator that spironolactone is effective. Spironolactone is a diuretic used to reduce fluid accumulation in the abdomen (ascites) associated with liver cirrhosis. A reduction in ascites indicates that the medication is working as intended.

A. Breath sounds B. Blood pressure C. Heart rate D. Pain level

Correct Answer is A

Explanation

A. Breath sounds should be assessed first because naloxone is administered to reverse respiratory depression caused by opioid toxicity. Ensuring that the client is breathing adequately is the top priority.
B. Blood pressure is important to monitor, but it is not the immediate priority after administering naloxone. Respiratory status takes precedence.
C. Heart rate is also important to monitor, but it is secondary to ensuring adequate respiration.
D. Pain level should be assessed, but it is not the immediate priority following naloxone administration. The primary concern is the client’s respiratory status.

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A nurse is planning to administer epoetin alfa subcutaneously to a client who has anemia. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has cirrhosis of the liver and is receiving spironolactone. Which of the following findings indicates that the client is responding to the treatment?

Correct Answer is D

Explanation

A nurse in an emergency department is administering naloxone to a client who is experiencing opioid toxicity. Following administration of the medication, which of the following should the nurse assess first?

Correct Answer is A

Explanation

A nurse is preparing to administer filgrastim 5 mcg/kg/day subcutaneously to a client who weighs 143 lbs. How many mcg should the nurse administer per day? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

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