Practice Question
A nurse is caring for a client who has chronic renal disease and is receiving therapy with epoetin alfa. Which of the following laboratory results should the nurse review for an indication of a therapeutic effect of the medication?
Answer Choices:
Correct Answer:
The hematocrit (Hct)
Rationale:
🔷 Epoetin alfa stimulates red blood cell production in clients with chronic kidney disease.
🔷 A rising hematocrit indicates a therapeutic response.
🔷 Other labs like ESR or WBC are unrelated to erythropoiesis.
🔷 Hct levels are monitored regularly to avoid overcorrection and HTN.
🔷 The goal is to reduce anemia-related fatigue and need for transfusions.
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This question is from RN Capstone week 9 Exam which contains 50 questions.
More Questions from This Exam
A nurse is caring for a client who has syndrome of inappropriate antidiuretic hormone (SIADH) and a sodium level of 123 mEq/L. Which of the following prescriptions should the nurse anticipate?
Answer Choices:
A. Provide a low sodium diet.
B. Restrict fluid intake to 1,000 ml, per day.
C. Administer desmopressin acetate.
D. Maintain an IV of 0.45% sodium chloride.
A nurse is reviewing a client's laboratory results and sees that their hemoglobin A1C is 9%. Which of the following statements from the nurse is appropriate?
Answer Choices:
A. "Your blood sugar is too high after meals."
B. "You have many dangerously low blood sugar levels."
C. "Your average blood sugar is high."
D. "Your blood sugar is very unstable."
A nurse is caring for a client who has chronic obstructive pulmonary disease (COPD). The client tells the nurse, "I can feel the congestion in my lungs, and I certainly cough a lot, but I can't seem to bring anything up." Which of the following actions should the nurse take to help this client with tenacious bronchial secretions?
Answer Choices:
A. Administering oxygen via nasal cannula at 2 L/min
B. Helping the client select a low-salt diet
C. Maintaining a semi-Fowler's position as often as possible
D. Encouraging the client to drink 2 to 3 L of water daily
A nurse is teaching an older adult client who has diabetes mellitus about preventing the long-term complications of retinopathy and nephropathy. Which of the following instructions should the nurse include?
Answer Choices:
A. "Examine your feet carefully every day."
B. "Wear compression stockings daily."
C. "Maintain stable blood glucose levels."
D. "Have an eye examination once per year."
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Capstone Exam(s)
- Answer Choices: 4