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.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

Osmotic laxatives work by drawing water into the intestines, which can lead to fluid loss and dehydration if not enough fluids are consumed.

Oliguria, or decreased urine output, can be a sign of fluid volume deficit and dehydration.

Choice A is wrong because Weight gain, is not an indication of fluid volume deficit as weight loss is more commonly associated with dehydration.

Choice C is wrong because Headaches, can be a symptom of dehydration but is not specific to fluid volume deficit.

Choice D is wrong because Nausea, can also be a symptom of dehydration but is not specific to fluid volume deficit.

A. Creatinine.5 mg/dL. B. Potassium 4.2 mEq/L. C. BUN 18 mg/dL. D. Sodium 139 mEq/L.

Correct Answer is A

Explanation

Cyclosporine is an immunosuppressant medication that can have nephrotoxic effects.

A creatinine level of.5 mg/dL is above the normal range and may indicate impaired kidney function.

The nurse should report this value to the provider for further evaluation.

Choice B is wrong because Potassium 4.2 mEq/L, is not the correct answer because it falls within the normal range for potassium levels in the blood.

Choice C is wrong because BUN 18 mg/dL, is not the correct answer because it falls within the normal range for blood urea nitrogen levels.

Choice D is wrong because Sodium 139 mEq/L, is not the correct answer because it falls within the normal range for sodium levels in the blood.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

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 assessing a client who is taking an osmotic laxative. Which of the following findings should the nurse identify as an indication of fluid volume deficit?

Correct Answer is B

Explanation

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?

Correct Answer is A

Explanation

Ferrous Gluconate Client Teaching. A nurse is teaching a client who has a prescription for ferrous gluconate. Which of the following statements by the client indicates an understanding of the teaching?

A nurse in the emergency department is admitting a client who has diabetic ketoacidosis and a blood glucose level of 800 mg/dL. Which of the following interventions should the nurse initiate first?

A nurse in a provider's office is assessing a client who has hypothyroidism and has been taking levothyroxine for 2 months. Which of the following statements by the client indicates a therapeutic response to the medication?

A nurse is caring for a client who is receiving total parenteral nutrition (TPN). Which of the following actions should the nurse take?

A nurse is administering naloxone to a client who has developed an adverse reaction to morphine. The nurse should identify which of the following findings as a therapeutic effect of naloxone?

A nurse is assessing a client who is receiving heparin via continuous IV. The client has an aPTT of 90 seconds. The nurse should monitor the client for which of the following changes in their vital signs?

A nurse is reviewing the medical history of a client prior to medication administration and notes a history of an anaphylactic reaction to penicillin. The nurse should identify that which of the following medications is contraindicated for this client?

A nurse is preparing to administer propranolol to a client. Which of the following should the nurse assess prior to administering this medication?

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?