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.
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Related Questions
Correct Answer is B
Explanation
A. Headache can be a side effect of dopamine infusion but does not necessarily indicate the need to increase the infusion rate. It is important to monitor and manage the headache, but it is not a direct indicator of inadequate perfusion or shock management.
B. Hypotension indicates that the current rate of dopamine infusion is not sufficient to maintain adequate blood pressure and perfusion. In the context of septic shock, maintaining an adequate mean arterial pressure (MAP) is crucial to ensure organ perfusion and prevent further complications. Increasing the dopamine infusion rate can help achieve the desired MAP and stabilize the patient’s condition.
C. Chest pain is a concerning symptom that requires immediate evaluation but is not directly related to the need to increase dopamine infusion. Chest pain could indicate myocardial ischemia or other cardiac issues, which may require different interventions.
D. Extravasation refers to the leakage of dopamine into the surrounding tissue, which can cause local tissue damage. This is a complication of IV therapy and requires immediate attention, but it does not indicate the need to increase the infusion rate. Instead, the infusion site should be assessed, and appropriate measures should be taken to prevent further extravasation.
Correct Answer is B
Explanation
A. Propafenone is an antiarrhythmic medication used to treat irregular heartbeats. It is not used to treat vomiting and would not be appropriate for this client.
B. Prochlorperazine is an antiemetic medication commonly used to treat severe nausea and vomiting. It works by blocking dopamine receptors in the brain, which helps reduce the urge to vomit.
C. Metformin is an oral antidiabetic medication used to manage blood glucose levels in people with type 2 diabetes. It is not used to treat vomiting and would not be appropriate for this client.
D. Simvastatin is a lipid-lowering medication used to manage high cholesterol levels. It is not used to treat vomiting and would not be appropriate for this client.
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