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 A

Explanation

This is because pioglitazone can cause fluid retention and edema.

Choice B is wrong because tinnitus (ringing in the ears) is not a common adverse effect of pioglitazone.

Choice C is wrong because insomnia (difficulty sleeping) is not a common adverse effect of pioglitazone.

Choice D is wrong because orthostatic hypotension (a drop in blood pressure when standing up) is not a common adverse effect of pioglitazone.

A. Increased pulse rate. B. Increased blood pressure. C. Decreased temperature. D. Decreased respiratory rate.

Correct Answer is A

Explanation

The correct answer is choice A. Increased pulse rate.

An aPTT of 90 seconds is much higher than the normal range of 30-40 seconds, which means the blood takes longer to clot and the client is at risk of bleeding. An increased pulse rate is a sign of blood loss and shock.

Choice B is wrong because increased blood pressure is not a sign of bleeding, but rather a sign of hypertension or stress.

Choice C is wrong because decreased temperature is not a sign of bleeding, but rather a sign of hypothermia or infection.

Choice D is wrong because decreased respiratory rate is not a sign of bleeding, but rather a sign of respiratory depression or sedation.

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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 nurse is caring for a client who has diabetes mellitus and is taking pioglitazone. The nurse should plan to monitor the client for which of the following adverse effects?

Correct Answer is A

Explanation

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Correct Answer is A

Explanation

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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?