A nurse is reviewing agency protocol prior to administering epoetin alfa to a client who has chronic kidney disease.
Which of the following actions should the nurse plan to take?

Discard the vial of medication if the solution is cloudy.

Shake the vial of medication to dissolve particulates.

Dilute the vial of medication with sterile water.

Thaw the medication in the vial 30 min before administration.

Answer and Explanation

The Correct Answer is A

Discard the vial of medication if the solution is cloudy.

This is because epoetin alfa should not be used if it has been frozen or if it has changed color or has particles in it.

Choice B is wrong because the vial should not be shaken before use.

Choice C is wrong because epoetin alfa should not be diluted with sterile water or any other liquid.

Choice D is wrong because epoetin alfa should not be frozen and therefore does not need to be thawed before administration.

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Correct Answer is D

Explanation

Methimazole is an antithyroid medication that controls the overproduction of thyroid hormone in Graves’ disease.

One of the symptoms of Graves’ disease is difficulty sleeping due to the overproduction of thyroid hormone.

After taking methimazole for 2 months, the client’s thyroid hormone levels should decrease, leading to an improvement in sleep.

Choice A is wrong because weight loss is a symptom of Graves’ disease due to the overproduction of thyroid hormone.

Methimazole controls the overproduction of thyroid hormone and may lead to weight gain.

Choice B is wrong because warmer skin is a symptom of Graves’ disease due to the overproduction of thyroid hormone.

Methimazole controls the overproduction of thyroid hormone and may lead to cooler skin.

Choice C is wrong because an increase in pulse rate is a symptom of Graves’ disease due to the overproduction of thyroid hormone.

Methimazole controls the overproduction of thyroid hormone and may lead to a decrease in pulse rate.

A. Hypotension. B. Extravasation. C. Headache. D. Chest pain.

Correct Answer is A

Explanation

Dopamine is a medication used to treat hypotension, low cardiac output, and poor perfusion of vital organs.

It is used to increase mean arterial pressure in septic shock patients who remain hypotensive after adequate volume expansion 1.

If the client is still experiencing hypotension while receiving dopamine by continuous IV infusion, the nurse should increase the rate of infusion to improve the client’s blood pressure.

Choice B is wrong because Extravasation, is not the correct answer because it refers to the leakage of IV fluid or medication into the surrounding tissue and is not an indication to increase the rate of dopamine infusion.

Choice C is wrong because Headache, is not the correct answer because it is not specifically related to dopamine therapy or an indication to increase the rate of infusion.

Choice D is wrong because Chest pain, is not the correct answer because it is not specifically related to dopamine therapy or an indication to increase the rate of infusion.

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A nurse is reviewing agency protocol prior to administering epoetin alfa to a client who has chronic kidney disease. Which of the following actions should the nurse plan to take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client who has Graves' disease is prescribed methimazole. Which of the following effects should the nurse expect to see after the client has taken the medication for 2 months?

Correct Answer is D

Explanation

A nurse is assessing a client who has septic shock and is receiving dopamine by continuous IV infusion. Which of the following findings indicates that the nurse should increase the rate of infusion?

Correct Answer is A

Explanation

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A nurse is reviewing the laboratory results of a client who has rheumatoid arthritis and a prescription for cyclosporine. The nurse should report which of the following laboratory values to the provider?

A nurse is reviewing agency protocol prior to administering epoetin alfa to a client who has chronic kidney disease.
Which of the following actions should the nurse plan to take?