Blog Archive

A nurse is planning to administer epoetin alfa to a client

A patient with severe anemia is admitted to the hospital.

a nurse is planning to administer epoetin alfa to a client

Due to religious beliefs, the patient is refusing blood transfusions. The nurse anticipates drug therapy with which drug to stimulate the production of red blood cells? Erythropoietin epoetin alfa [Epogen, Procrit] is an effective alternative treatment for patients with chronic anemia secondary to diminished levels of erythropoietin.

This medication stimulates erythropoiesis. A nurse is completing a detailed health history and assessment in the electronic medical record EMR on a pt with a disorder of hematopoietic system. Based on the pt's responses, which of the following symptoms is most common complaint associated with hematologic diseases?

During a blood transfusion with packed red blood cells RBCsa patient begins to complain of chills, low back pain, and nausea. What priority action should the nurse take? Maintain the IV line with normal sailine solution through new IV tubing, administered at a slow rate. Assess the pt carefully. Notify Dr. Continue to monitor the pt's vital signs and resp, cardio, and renal status. Notify the blood bank that a suspected transfusion reaction has occurred and send the blood container and tubing to the blood bank for repeat typing and culture.

Which of the following is a symptom of severe thrombocytopenia? The tongue appears smooth and beefy red in color. The nurse also observes a 5cm incision on the ULQ of the abd.

Hobby ideas

When questions, the pt states "I had a partioal gastrostomy 2 years ago" Based on this information, the nurse attributes these symptons to which of the following problems? Ans: D Vitamin B12 is found only in foods of animal origin, strict vegetarians may ingest little B B12 combines with intrinsic factor produced in the stomach. The B12 intrinsic factor complex is absorbed in the distal ileum. People who have had a partial or full gastrectomy may have limited amounts of intrinsic factor, and therefore the absorption of B12 may be diminished.

The effects may not be noticed for years. This results in megaloblastic anemia.

a nurse is planning to administer epoetin alfa to a client

Which of the following nursing interventions should be incorporated into the plan of care for a patient with impaired liver function and low albumin levels? Capillary walls are impermeable to albumin, so its presence in the plasma created an osmotic force that keeps fluid within the vascular space. People with impaired hepatic function may have low concentrations of albumin, with a resultant decrease in osmotic pressure and the development of edema.

A patient with Hodgkin's disease had a bone marrow biopsy yesterday and is complaining of aching, rated at a 5 out of 10, at the biopsy site. After assessing the biopsy site, which of the following nursing interventions is most appropriate?

The site is then covered with a sterile dressing. Most patients have no discomfort after, but the site may ache for 1 or 2 days. Warm tub baths and a mild analgesic agent may be useful. Aspirin containing analgesic agents should be avoided because of potential bleeding. A nurse is reviewing a patient's morning labs and notes a left shift in the band cells. Based on this observation, what interpretation can the nurse make from these results?

Anemia refers to decreased red cell mass.A nurse is planning care for a client who has acute respiratory distress syndrome ARDS.

Which of the following interventions should the nurse include in the plan? Oxygenation in clients who have ARDS is improved when placed in the prone position. Frequent and consistent turning of the client is also beneficial and can be accomplished by the use of specialty beds. A nurse is caring for a client who has prostate cancer. The nurse should expect the provider to prescribe which of the following medications for this client? Leuprolide treats cancer of the prostate hormonally.

It antagonizes the androgens that androgen-dependent neoplasms require. A nurse is caring for a client who is receiving peritoneal dialysis.

The nurse should monitor the client for which of the following manifestations of peritonitis?

Palo alto education

Peritonitis is an inflammation of the peritoneum and is a potential complication of peritoneal dialysis. The nurse should monitor the client for manifestations such as abdominal tenderness or pain, anorexia, nausea, vomiting, restlessness, and confusion.

A nurse is teaching with a client about taking high doses of oral glucocorticoids for an extended period of time to treat rheumatoid arthritis. Which of the following instructions should the nurse include in the teaching? High-dose, long-term use of glucocorticoids can result in bone loss in the back and neck within weeks of starting the medication. Clients experience an increase in parathyroid hormone, which causes calcium to move out of the bones can result in fractures. A nurse is teaching a client how to follow a low-purine diet as prescribed by the provider for the management of gout.

Which of the following statements indicates the client understands the teaching? The nurse should encourage the client who has gout to avoid organ meats, such as liver, due to high levels of purine. A nurse is providing discharge teaching about nutrition to the parents of a child who has cystic fibrosis CF.

Which of the following responses by the parents indicates an understanding of the teaching?

Chi square calculator observed expected

CF interferes with the availability of pancreatic enzymes necessary for digestion and absorption of nutrients. Therefore, pancreatic enzymes must be taken with all meals and snacks. A nurse is providing an education program about dietary interventions to reduce the risk for prostate cancer. Which of the following information should the nurse include?

a nurse is planning to administer epoetin alfa to a client

The client should increase intake of fish and increase omega-3 fatty acids to reduce the risk for prostate cancer. A nurse is reviewing the laboratory data of a client following a hemodialysis treatment. The nurse should expect to find a decrease in which of the following laboratory values? The nurse should monitor the client for which of the following conditions? When a sudden interruption in the infusion of TPN occurs, the client is at risk for hypoglycemia.

Shakiness and diaphoresis are manifestations of hypoglycemia. A nurse is teaching a client who has chronic kidney disease and a new prescription for epoetin alfa. The nurse should instruct the client to increase dietary intake of which of the following substances? Epoetin alfa is a synthetic form of erythropoietin, a substance produced by the kidneys that stimulates the bone marrow to produce red blood cells.

Increased iron is needed for the production of hemoglobin and red blood cells by the bone marrow. A nurse is assessing a client who has a pneumothorax with a chest tube in place. For which of the following findings should the nurse notify the provider?A client is prescribed a liquid iron preparation that has the potential to stain the teeth. The nurse should instruct the client to take which action to prevent staining of the teeth?

Brush the teeth before drinking the iron. Drink the iron undiluted for maximal effect. Dilute more than the amount prescribed to obtain the correct dosage. Dilute the iron in juice, drink it through a straw, and rinse the mouth afterward. Ticlopidine Ticlid is prescribed for a client. The nurse plans to take which action before implementing this medication therapy? Taking the client's blood pressure 2. Obtaining a prothrombin time PT 3. Taking the client's apical heart rate 4.

Reviewing the results of the complete blood cell CBC count. Ticlopidine Ticlid has been prescribed for a client with a diagnosis of thrombotic stroke. The nurse provides instructions to the client and spouse regarding the medication.

Which statement, if made by the client, indicates that the client understands the use of this medication? The home care nurse is making a monthly visit to a client with a diagnosis of pernicious anemia who has been receiving a monthly injection of cyanocobalamin vitamin B Before administering the injection, the nurse evaluates the effects of the medication and determines that a therapeutic effect is occurring if the client makes which statement?

The nurse is providing dietary instructions to the client with anemia. The client tells the nurse that the iron pills are very expensive and it will be difficult to pay for the pills and buy the proper food. The nurse provides instructions to a client who has a prescription for ticlopidine Ticlid. The nurse is reviewing the health care provider's HCP prescriptions for a client recently admitted to the hospital and notes that the HCP has prescribed ticlopidine Ticlid therapy.

Which finding, if noted on the client's record, would indicate a need to contact the HCP before initiating the medication prescription? Neutropenia 2. Client history of stroke 3. Client history of hypertension 4. Complaints of gastrointestinal disturbances.

The nurse is monitoring a client who is receiving epoetin alfa Epogen, Procrit for adverse effects of the medication. Which finding indicates an adverse effect?

Diarrhea 2. Depression 3. Bradycardia 4. The nurse is evaluating the results of laboratory studies for a client receiving epoetin alfa Epogen, Procrit. When should the nurse expect to note a therapeutic effect of this medication?

Immediately 2. After 1 week of therapy.Drug information provided by: IBM Micromedex. Epoetin injection is usually given by a doctor after a kidney dialysis treatment in a hospital or clinic.

However, medicines given by injection are sometimes used at home. If you will be using epoetin at home, your doctor will teach you how the injections are to be given. Be sure that you understand exactly how the medicine is to be injected. It may be given as a shot under your skin or into a vein.

If your doctor tells you to inject it in a certain way, follow your doctor's instructions. This medicine comes with a Medication Guide. Read and follow these instructions carefully. Ask your doctor if you have any questions. Carefully follow your doctor's instructions about any special diet. You may need to eat foods that contain iron, folic acid, or vitamin B12 such as eggs, certain cereals, meats, and vegetables, or you may take an iron, folic acid, or vitamin B12 supplement while you are using this medicine.

The dose of this medicine will be different for different patients.

Pharmacology - Renal & Urinary Medications

Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so. The amount of medicine that you take depends on the strength of the medicine.

Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine. If you miss a dose of this medicine, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not double doses.

Protect the medicine from bright light. Keep your medicine in the original package until you are ready to use it. Throw away used needles in a hard, closed container that the needles cannot poke through puncture-resistant.

How to calm a scorpio woman

Keep this container away from children and pets. All rights reserved. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. Mayo Clinic does not endorse companies or products.

Advertising revenue supports our not-for-profit mission. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. This site complies with the HONcode standard for trustworthy health information: verify here. This content does not have an English version. This content does not have an Arabic version. Make an appointment. Visit now. Explore now. Choose a degree.

Get updates.Drug information provided by: IBM Micromedex. It is very important that your doctor check the blood of you or your child on a regular basis while you are using this medicine.

You may also need to monitor your blood pressure at home. If you notice any changes to your recommended blood pressure, call your doctor right away.

Do not use this medicine if you or your child have had an allergic reaction to albumin or products derived from human or animal cells. This medicine contains benzyl alcohol which may cause serious reactions to newborn or premature infants. Discuss this with your doctor if you are concerned. Epoetin sometimes causes seizures, especially during the first 90 days of treatment.

During this time, it is best to avoid driving, using heavy machinery, or doing other activities that could cause serious injury if a seizure occurs while you are performing them. People with severe anemia usually feel very tired and sick. When epoetin begins to work, usually in about 6 weeks, most people start to feel better. Some people are able to be more active.

However, epoetin only corrects anemia. It has no effect on kidney disease, cancer, or any other medical problem that needs regular medical attention. Even if you or your child are feeling much better, it is very important that you do not miss any appointments with your doctor or any dialysis treatments.

This medicine may increase your risk of having serious heart and blood vessel problems, such as congestive heart failure, heart attacks, or stroke. Check with your doctor right away if you or your child start having dizziness, fainting spells, severe tiredness, chest pain, trouble with breathing, sudden or severe headache, or problems with vision, speech, or walking.

This medicine may increase your risk of having blood clots. This is more likely in patients who use high doses of this medicine, or who use this medicine before a major surgery. Call your doctor right away if you have chest pain, trouble breathing, or pain, redness, or swelling in your arms or legs while using this medicine. If you are getting dialysis treatments, tell your doctor right away if you notice blood clots at the injection site.Medically reviewed by Drugs.

Last updated on May 21, This is not a list of all drugs or health problems that interact with this medicine epoetin alfa vials. Tell your doctor and pharmacist about all of your drugs prescription or OTC, natural products, vitamins and health problems. You must check to make sure that it is safe for you to take this medicine epoetin alfa vials with all of your drugs and health problems. Do not start, stop, or change the dose of any drug without checking with your doctor. Use this medicine epoetin alfa vials as ordered by your doctor.

Read all information given to you. Follow all instructions closely. Epoetin alfa dosage information in more detail.

Tell your doctor or get medical help right away if you have any of the following signs or symptoms that may be related to a very bad side effect:. All drugs may cause side effects. However, many people have no side effects or only have minor side effects.

Call your doctor or get medical help if any of these side effects or any other side effects bother you or do not go away:. These are not all of the side effects that may occur. If you have questions about side effects, call your doctor. Call your doctor for medical advice about side effects. You may report side effects to the FDA at Epoetin alfa side effects in more detail. If you think there has been an overdose, call your poison control center or get medical care right away.

Be ready to tell or show what was taken, how much, and when it happened. Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.

Epoetin Alfa Vials

Other brands: ProcritRetacritEpogen. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records.A nurse is performing discharge teaching for a client who has seizures and a new prescription for phenytoin.

Which of the following statements by the client indicates a need for further teaching? Phenytoin is an anticonvulsant used to treat various types of seizures.

Pharmacology - Hematological Medications

Clients on anticonvulsant medications commonly require them for lifetime administration, and phenytoin should not be stopped without the advice of the client's provider.

A nurse is providing teaching to a client who has a new diagnosis of Parkinson's disease. On which of the following medications should the nurse prepare to instruct the client? The nurse should prepare to instruct the client on the use of this medication. A nurse is teaching a client who has chronic kidney disease and a new prescription for epoetin alfa. The nurse should instruct the client to increase dietary intake of which of the following substances?

Epoetin alfa is a synthetic form of erythropoietin, a substance produced by the kidneys that stimulates the bone marrow to produce red blood cells.

Laser cutting designs

Increased iron is needed for the production of hemoglobin and red blood cells by the bone marrow. A nurse is providing teaching for a client who is newly diagnosed with type 2 diabetes mellitus and has a prescription for glipizide. Which of the following statements by the nurse best describes the action of glipizide? Glipizide is an oral antidiabetic medication in the pharmacological classification of sulfonylurea agents. These medications help to lower blood glucose levels in clients who have type 2 diabetes mellitus using several methods, including reducing glucose output by the liver, increasing peripheral sensitivity to insulin, and stimulating the release of insulin from the functioning beta cells of the pancreas.

A nurse is assessing a client who is taking levothyroxine. The nurse should recognize that which of the following findings is a manifestation of levothyroxine overdose?

Asrock m 2 not detected

Levothyroxine overdose will result in manifestations of hyperthyroidism, which include insomnia, tachycardia, and hyperthermia. A nurse is caring for a client who has cancer and a new prescription for ondansetron to treat chemotherapy-induced nausea.

For which of the following adverse effects should the nurse monitor? A nurse is teaching a client who has a new prescription for colchicine to treat gout. Which of the following instructions should the nurse include?

A nurse is caring for a client who is taking naproxen following an exacerbation of rheumatoid arthritis. Which of the following statements by the client requires further discussion by the nurse? NSAIDs, like naproxen, can cause serious adverse gastrointestinal reactions such as ulceration, bleeding, and perforation. Warning manifestations such as nausea or vomiting, gastrointestinal burning, and blood in the stool reported by the client require further investigation by the nurse.

The client might be taking an antacid because he is experiencing one or more of these manifestations. A nurse is preparing to administer a dose of lactulose to a client who has cirrhosis. The client states, "I don't need this medication. I am not constipated. Lactulose, a disaccharide, is a sugar that works as an osmotic diuretic.

It prevents absorption of ammonia in the colon. Accumulation of ammonia in the bloodstream, which occurs in pathologic conditions of the liver, such as cirrhosis, may affect the central nervous system, causing hepatic encephalopathy or coma.


thoughts on “A nurse is planning to administer epoetin alfa to a client

Leave a Reply

Your email address will not be published. Required fields are marked *