The nurse is preparing to administer a dose of epoetin alfa to a patient and notes that the patient has a hemoglobin level of 11.7 gm/dL. Which action by the nurse is correct?
a. Administer the dose as ordered.
b. Hold the dose and notify the provider.
c. Request an order for a reduced dose.
d. Suggest that the provider increase the dose.
B
Because the risks of severe cardiovascular events and death are higher in patients whose hemog-lobin levels exceed 11 gm/dL, the nurse should hold the dose and notify the provider of this level. It is not correct to administer the dose. Reducing the dose and increasing the dose are not correct because the patient's hemoglobin level is already too high.
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