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 A
Explanation
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.
Correct Answer is C
Explanation
Methimazole is a medication used to treat hyperthyroidism, a condition where the thyroid gland produces too much thyroid hormone.
Bradycardia, or a slow heart rate, can be a sign that the client’s thyroid hormone levels have become too low, indicating that the dose of methimazole may need to be decreased.
Choice A is wrong because Exophthalmos, is not an indication for a lower dose of methimazole as it is a symptom of Graves’ disease itself and not related to the medication.
Choice B is wrong because Diaphoresis, or excessive sweating, is also not an indication for a lower dose of methimazole as it can be a symptom of hyperthyroidism.
Choice D is wrong because Weight loss, is also not an indication for a lower dose of methimazole as it can be a symptom of hyperthyroidism.
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