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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. “Exercise caution when changing positions.” This statement is correct because captopril, an ACE inhibitor, can cause orthostatic hypotension, which is a sudden drop in blood pressure when changing positions. Patients should be advised to rise slowly from sitting or lying positions to prevent dizziness and falls.
B. “Increase the amount of sodium in your diet.” This statement is incorrect because increasing sodium intake can counteract the blood pressure-lowering effects of captopril. Patients are usually advised to maintain a low-sodium diet to help manage their blood pressure effectively.
C. “Take a daily potassium supplement.” This statement is incorrect because captopril can increase potassium levels in the blood, potentially leading to hyperkalemia. Patients should be advised to avoid potassium supplements and potassium-rich foods unless directed by their healthcare provider.
D. “Monitor your pulse rate before taking medication.” This statement is incorrect because monitoring pulse rate is not typically necessary for patients taking captopril. The primary concern with captopril is blood pressure, not heart rate.
Correct Answer is D
Explanation
A. Absence of peripheral neuropathy is not an indicator of ondansetron’s effectiveness. Ondansetron is used to prevent nausea and vomiting, not to treat neuropathy.
B. Increased urinary output is not related to the effectiveness of ondansetron. This medication does not affect urinary output.
C. Reduced dizziness can be a beneficial effect but is not the primary indication of ondansetron’s effectiveness. Ondansetron is primarily used to prevent nausea and vomiting.
D. Decreased nausea is the primary indication that ondansetron is effective. Ondansetron is an antiemetic used to prevent and treat nausea and vomiting, so a reduction in these symptoms indicates that the medication is working.
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