The hemodialysis client is scheduled to receive weekly injections of epoetin. Which is the most important consideration to be taken by the nurse in the administration of this medication?
Administer with low-dose aspirin to prevent clot formation.
Administer immediately after dialysis.
Monitor complete blood count prior to dose.
Schedule injection on nondialysis day.
The Correct Answer is D
Schedule injection on a nondialysis day. Epoetin is a medication used to stimulate the production of red blood cells. It is important to administer the medication on the day that the client is not receiving dialysis to prevent the medication from being removed from the bloodstream during the dialysis process.
Administering epoetin immediately after dialysis, choice B may result in decreased effectiveness.
Administering with low-dose aspirin, choice A, is not a standard recommendation for the administration of epoetin.
Monitoring the complete blood count prior to the dose, choice C is not the most important consideration when administering epoetin.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Abandon biases that older adults are sexually inactive. Older adults are sexually active and at risk for sexually transmitted infections (STIs). The nurse should not make assumptions about the client's sexual activity based on age.
Option A, older clients who are sexually active have less risk for STIs than other age groups, is incorrect because older adults are at risk for STIs. Option C, older clients know the ways to prevent STIs, may not always be accurate.
Option D, older clients, because of their maturity, are rarely embarrassed to talk about it, is a generalization and may not be true for all older clients.
Correct Answer is D
Explanation
Diarrhea. A client who is recovering from bariatric surgery and is eating from a portable commode is at risk for diarrhea. Diarrhea can cause fluid and electrolyte imbalances, leading to dehydration, which can be life-threatening, especially in the immediate postoperative period.
Option A, impaired mobility, would not be a priority concern in the immediate postoperative period for this client.
Option B, impaired gas exchange, is not related to the situation.
Option C, self-care deficit, maybe a concern but is not as significant as diarrhea in the immediate postoperative period.
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