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 A

Explanation

A. Blurred vision is a known adverse effect of carbamazepine. Clients should be instructed to monitor for changes in vision and report any issues to their healthcare provider.
B. Tachypnea is not a common adverse effect of carbamazepine. It is more likely to be associated with respiratory conditions or other medications.
C. Insomnia is not typically associated with carbamazepine. In fact, carbamazepine can cause drowsiness and sedation.
D. Metallic taste is not a common adverse effect of carbamazepine. It is more commonly associated with other medications, such as metronidazole.

A. Complete an incident report. B. Document the findings in the nurse’s notes. C. Notify the nursing manager. D. Inform the client’s provider.

Correct Answer is D

Explanation

A. Complete an incident report is necessary for documenting the error, but it should not be the first action. Immediate steps should focus on patient safety and addressing the error.
B. Document the findings in the nurse’s notes is important for maintaining accurate medical records, but it should follow the immediate actions taken to address the error.
C. Notify the nursing manager is important for internal reporting and addressing the error within the healthcare team, but it should not be the first action.
D. Inform the client’s provider is the first action the nurse should take. The provider needs to be informed immediately to assess the client’s condition, determine any necessary interventions, and prevent potential harm from the medication error.

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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 providing teaching to a client who has a new prescription for carbamazepine for the treatment of seizures. The nurse should instruct the client to monitor for which of the following adverse effects?

Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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