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 D
Explanation
The nurse should instruct the client to monitor and report bruising as an adverse effect of taking clopidogrel.

Clopidogrel increases the risk of bleeding, which can be severe or life- threatening.
Choice A is wrong because blurred vision is not a common adverse effect of clopidogrel.
Choice B is wrong because constipation is not a common adverse effect of clopidogrel.
Choice C is wrong because weight loss is not a common adverse effect of clopidogrel.
Correct Answer is C
Explanation

Fentanyl buccal film is a small film that sticks to the inside of the cheek and eventually dissolves within 15 to 30 minutes after it is applied.
It is used to manage breakthrough pain in patients with cancer who are already using another opioid pain medicine around-the-clock.
Choice A is wrong because the medication should not be placed on the client’s tongue for dissolution.
Choice B is wrong because the medication should not be dissolved in water before administering it.
Choice D is wrong because the client should not be instructed to swallow the medication with a sip of water.
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