The most common adverse effect of epoetin alfa is:

Nausea and vomiting

Orthostatic hypotension

Hypertension

Dizziness

Answer and Explanation

The Correct Answer is C

A. Nausea and vomiting: Nausea and vomiting can occur with epoetin alfa, but it's not the most common side effect.

B. Orthostatic hypotension: This is not a common side effect of epoetin alfa. Orthostatic hypotension is a decrease in blood pressure upon standing.

C. Hypertension: Epoetin alfa stimulates the production of red blood cells. When the red blood cell count increases too quickly, it can lead to increased blood pressure, which is the most common adverse effect.

D. Dizziness: Dizziness can occur with epoetin alfa, but it's less common than hypertension.

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Correct Answer is A

Explanation

A. LMWHs produce a more stable effect on coagulation; thus, fewer lab tests are needed: Correct LMWHs have a more predictable anticoagulant response compared to unfractionated heparin, resulting in a more stable effect on coagulation. Because of their predictable response, routine monitoring of coagulation parameters, such as activated partial thromboplastin time (aPTT), is typically not required with LMWH therapy, unlike with unfractionated heparin.

B. LMWHs may be given by the oral route: Incorrect. LMWHs are administered by the subcutaneous route.

C. LMWHs have a short duration of action: Incorrect. LMWHs have a longer duration of action compared to unfractionated heparin.

D. LMWHs possess greater anticoagulant activity: incorrect. LMWHs generally have less potent anticoagulant activity compared to unfractionated heparin, but their more predictable response and longer half-life make them advantageous in many clinical scenario

Correct Answer is ["23"]

Explanation

To determine how many milliliters (mL) of potassium chloride the nurse should administer to provide 30 mEq, we can set up a proportion:

20 mEq is contained in 15 mL. So, to find out how many mL contain 30 mEq, we can set up the proportion:

20 mEq:15 mL=30 mEq:? mL20mEq:15mL=30mEq:xmL

Cross multiply:

20×?=15×3020×x=15×30

20?=45020x=450

Now, solve for ?x:

?=45020x=20450

?=22.5x=22.5

So, the nurse should administer approximately 22.5 mL of potassium chloride.

Rounded to the nearest whole number, this would be 23 mL.

Therefore, the nurse should administer 23 mL of potassium chloride.

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The most common adverse effect of epoetin alfa is:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What is the primary advantage of using low molecular weight heparins (LMWHs) over heparin?

Correct Answer is A

Explanation

A nurse is preparing to administer potassium chloride 30 mEq PO daily. The amount available is potassium chloride 20 mEq/15mL. How many mL should the nurse administer? (Round the answer to the nearest tenth/whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["23"]

Explanation

Unlike heparin, the anticoagulant activity of warfarin can take several to reach its maximum effect.

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