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 D
Explanation
A. Slow the infusion rate is not an appropriate action when infiltration is noted. The infusion should be stopped immediately to prevent further leakage of fluid into the surrounding tissues.
B. Flush the IV catheter is not recommended in the case of infiltration, as it can cause more fluid to enter the surrounding tissues and worsen the infiltration.
C. Apply pressure to the IV site is not appropriate for managing infiltration. Applying pressure can cause further damage to the tissues and increase discomfort.
D. Elevate the extremity is the correct action to take. Elevating the affected limb can help reduce swelling and promote the reabsorption of the infiltrated fluid. Additionally, the IV catheter should be removed, and a new IV site should be selected.
Correct Answer is A
Explanation
A. Elevated hematocrit level can indicate hemoconcentration due to fluid volume deficit. When there is a decrease in plasma volume, the concentration of red blood cells increases, leading to a higher hematocrit level.
B. Weight gain is typically associated with fluid retention, not fluid volume deficit. In heart failure, weight gain can indicate worsening fluid overload.
C. Shortness of breath is a common symptom of fluid overload in heart failure, not fluid volume deficit. It occurs due to pulmonary congestion and edema.
D. Distended neck veins are a sign of increased central venous pressure, often seen in fluid overload rather than fluid volume deficit.
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