A client with chronic kidney disease is receiving epoetin alfa for the past 2 months. What should the nurse determine is an indicator that this therapy is effective?
1. A decrease in blood pressure
2. An increase in white blood cells
3. An increase in serum hematocrit
4. A decrease in serum creatinine level
Answre: 3. An increase in serum hematocrit
Explanation: Epoetin alfa stimulates red blood cell production. Initial effects should be seen within 1 to 2 weeks, and the hematocrit reaches normal levels in 2 to 3 months.
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A nurse observes a client's lips and nail beds are cyanotic, which means that there is:
a. pale skin coloration c. decreased oxygen supply to the area b. buildup of bile pigment in the skin d. increased redness to the skin
When writing a conversion factor as a ratio, the units you are converting to is placed after the colon in the
conversion factor. Indicate whether the statement is true or false
A client taking phenytoin (Dilantin) chronically for seizures should be encouraged to maintain good oral hygiene and visit the dentist every 6 months. Why is this such an important area of teaching for this client?
1. Cavities 2. Builds up tartar on the teeth 3. Mouth cancers 4. Gingival hyperplasia
The healthcare professional working in a summer camp provides cooling to campers by radiation. What is the most appropriate action by the professional to accomplish this?
a. Have the campers sit inside the air-conditioned camp cafeteria. b. Have the campers sit in front of a large fan. c. Tell the campers to take cool showers. d. Instruct the campers to lie still for an hour