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
Lovastatin is a lipid-lowering medication that belongs to the statin drug class.
It is used to treat and prevent coronary heart disease and hypercholesterolemia.
Before starting therapy with lovastatin, liver function tests should be performed to establish a baseline and monitor for any potential adverse effects on the liver.
Choice A is wrong because Western blot analysis, is not the correct answer because it is a laboratory technique used to detect specific proteins in a sample, not to monitor liver function.
Choice B is wrong because Pancreatic enzymes, is not the correct answer because it refers to enzymes produced by the pancreas that aid in digestion, not liver function.
Choice C is wrong because Exercise electrocardiography, is not the correct answer because it is a diagnostic test used to assess the heart’s response to physical stress, not liver function.
Correct Answer is A
Explanation
Propranolol is a beta-blocker that is used to treat high blood pressure and other heart conditions.
It works by slowing down the heart rate and reducing the force of heart muscle contraction.
Therefore, it is important for the nurse to assess the client’s heart rate prior to administering this medication to ensure that it is within a safe range.
Choice B is wrong because respiratory rate is not directly affected by propranolol.
Choice C is wrong because temperature is not directly affected by propranolol.
Choice D is wrong because pain level is not directly affected by propranolol.
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