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A nurse is reviewing the laboratory data of a client who has chronic renal failure and is to receive epoetin alfa subcutaneously. Which of the following values should the nurse monitor to evaluate the effectiveness of the medication?

Sodium

WBC

Glucose

Hemoglobin

Answer and Explanation

The Correct Answer is D

A. Sodium is not directly related to the effectiveness of epoetin alfa, which stimulates red blood cell production.

B. WBC count is not the primary marker for evaluating epoetin alfa therapy.

C. Glucose is not a key indicator of epoetin alfa effectiveness.

D. Hemoglobin is the key indicator because epoetin alfa is used to stimulate red blood cell production in clients with anemia due to chronic renal failure. The goal is to increase hemoglobin levels.

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Correct Answer is A

Explanation

A. Dark stools could indicate gastrointestinal bleeding, a known side effect of enoxaparin, and should be reported immediately.

B. Enoxaparin should be injected subcutaneously, not into a muscle.

C. Enoxaparin is an anticoagulant and does not directly decrease bleeding; rather, it prevents blood clot formation.

D. Enoxaparin should be injected at a 90-degree angle into the subcutaneous tissue.

A. Maintain the extremity below the level of the heart. B. Slow the IV solution rate. C. Apply a warm, moist compress. D. Initiate a new IV distal to the initial site.

Correct Answer is C

Explanation

A. Maintaining the extremity below the level of the heart may worsen the edema and is not recommended for infiltration.

B. Slowing the IV solution rate may help reduce further fluid buildup but does not address the cool, edematous site.

C. Applying a warm, moist compress helps to reduce edema and promotes absorption of infiltrated fluid.

D. Initiating a new IV distal to the initial site is not the first action to take and should only be done if the site is not salvageable.

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A nurse is reviewing the laboratory data of a client who has chronic renal failure and is to receive epoetin alfa subcutaneously. Which of the following values should the nurse monitor to evaluate the effectiveness of the medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to a client who is prescribed subcutaneous enoxaparin. Which of the following information should the nurse include in the teaching?

Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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