A patient has been receiving an erythropoietin-stimulating agent (ESA) for 8 weeks. The nurse reviews the patient's chart and notes no increase in hemoglobin levels from 8 g/dL on week 3 of therapy. The nurse will request an order for
a. a complete blood count and serum iron levels.
b. an increased dose of the erythropoietin-stimulating agent.
c. more frequent dosing of the ESA.
d. packed red blood cell infusions.
ANS: A
If there is no response, ESAs should be discontinued after 8 weeks of therapy. If a patient does not respond, iron deficiency or underlying hematologic disease should be considered and evaluated.
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