Practice Question
A client with anemia secondary to chronic kidney disease (CKD) started a prescription for epoetin alfa two months ago. Which client finding best indicates that the medication is effective? Reference Range: Hemoglobin (Hgb) [14 to 18 g/dL (8.7 to 11.2 mmol/L)].
Answer Choices:
Correct Answer:
Hemoglobin level increased to 12 g/dl. (7.45 mmol/L).
Rationale:
🔷 Epoetin alfa stimulates the bone marrow to produce red blood cells, making an increase in hemoglobin (Hgb) the most objective and direct indicator of effectiveness.
🔷 A hemoglobin level of 12 g/dL reflects a positive therapeutic response in a client with anemia secondary to chronic kidney disease (CKD).
🔷 Subjective improvements like increased energy are helpful but cannot replace lab confirmation.
🔷 The medication’s goal is to raise Hgb to near-normal range, so this result shows it’s working as intended.
Want to practice more questions like this?
This question is from RN-HESI Pharmacology Exam 3 which contains 40 questions.
More Questions from This Exam
To control asthma, a client in a residential treatment facility uses a fluticasone propionate and salmeterol discus inhalation system, which provides an inhaled powdered form of these combined medications. Which instruction should the nurse provide to this client's caregivers?
Answer Choices:
A. When using the discus, have the client breathe out rapidly into the mouthpiece
B. Offer the discus to the client for use during an acute asthma attack.
C. Clients using the discus may experience decreased blood pressure.
D. Explain that the client should not use the discus more than twice daily.
The nurse administers naloxone to a client with opioid-induced respiratory depression. One hour later, nursing assessment reveals that the client has a respiratory rate of 4 breaths/minute, oxygen saturation of 75%, and is unable to be aroused. Which action should the nurse implement?
Answer Choices:
A. Initiate cardiopulmonary resuscitation (CPR).
B. Prepare to assist with chest tube insertion.
C. Determine Glasgow Coma Scale score.
D. Administer a second dose of naloxone.
The nurse is caring for a client receiving a prescription for sucralfate to treat a peptic ulcer. Which instruction should the nurse provide during discharge education?
Answer Choices:
A. Continue with normal dose schedule after missing a dose.
B. Administer an additional dose if a dose is missed.
C. Take on an empty stomach at least 1 hour before meals.
D. Schedule doses with each meal and at bedtime.
A client who received a renal transplant three months ago is readmitted to the acute care unit with signs of graft rejection. While taking the client's history, the nurse determines that the client has been self-administering St. John's Wort, an herbal preparation, on the advice of a friend. Which information is most significant about this finding?
Answer Choices:
A. Adding the herb can decrease the need for corticosteroids.
B. The client probably used this herb to treat depression.
C. Ingestion of St. John's Wort can reduce the client's intake of sodium.
D. St. John's Wort can decrease plasma concentrations of cyclosporine.
The nurse administers risedronate to a client with osteoporosis at 0700. The client asks for a glass of milk to drink with the medication. Which action should the nurse take?
Answer Choices:
A. Consult with a pharmacist about scheduling the dose one hour after the client eats.
B. Assign an unlicensed assistive personnel (UAP) to bring the client a glass of low-fat milk.
C. Withhold the medication until the client's breakfast tray is available on the unit.
D. Instruct the client that it is necessary to take nothing but water with the medication.
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: HESI Exam(s)
- Domain: Hesi Pharmacology
- Answer Choices: 4
Was this question helpful?
0/5 average rating
(0 votes)