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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
This is because naloxone is an opioid antagonist that rapidly reverses an opioid overdose by attaching to opioid receptors and reversing and blocking the effects of other opioids.
It can quickly restore normal breathing to a person if their breathing has slowed or stopped because of an opioid overdose.
Choice A is wrong because decreased nausea is not a therapeutic effect of naloxone.
Choice C is wrong because decreased blood pressure is not a therapeutic effect of naloxone.
Choice D is wrong because increased pain relief is not a therapeutic effect of naloxone.
Correct Answer is C
Explanation
The nurse who identifies the error is responsible for completing an incident report.
Initial reports often come from the frontline personnel directly involved in an event or the actions leading up to it.
Choice A is wrong because the charge nurse is not necessarily responsible for completing an incident report.
Choice B is wrong because the quality improvement committee is not responsible for completing an incident report.
Choice D is wrong because the nurse who caused the error may not be aware of it and therefore may not be responsible for completing an incident report.
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