A client asks the nurse what is, if any, commonadverse effectof epoetin alfa (Procrit). What is the best response by the nurse?
1. "Bleeding."
2. "Ataxia."
3. "Headache."
4. "Hypertension."
4
Rationale 1: The most frequent, and most potentially serious, adverse effect of anticoagulant and antiplatelet drugs is bleeding.
Rationale 2: Ataxia is not associated with epoetin alfa (Procrit).
Rationale 3: Headache is not associated with epoetin alfa (Procrit).
Rationale 4: Hypertension is a common adverse effect of epoetin alfa.
Global Rationale: The most frequentadverse effect of epoetin alfa (Procrit) is hypertension that may occur in as many as 30% of patients receiving the drug. Blood pressure should be monitored during therapy, and an antihypertensive drug may be indicated.
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