Exogenous erythropoietin in the form of epoetin alfa (Epogen) is administered to a chronic dialysis client. How can the nurse best describe the action of this drug to the client?
1. "Epogen will change the shape of your red blood cells to increase their flexibility."
2. "Epogen changes the molecular structure of your hemoglobin, making it carry more oxygen."
3. "Epogen helps to increase the concentration of the oxygen carrier in your blood."
4. "Epogen makes your red blood cells bigger around."
Correct Answer: 3
Rationale 1: Epogen does not change the shape of the RBCs.
Rationale 2: Epogen does not change the molecular structure of hemoglobin.
Rationale 3: Epogen helps to increase hemoglobin concentration as well as the number of red blood cells.
Rationale 4: The red blood cell diameter does not change.
Global Rationale: Epogen helps to increase hemoglobin concentration as well as the number of red blood cells. Epogen does not change the shape, molecular structure, or size of the RBCs.
You might also like to view...
A client who has been a resident of the long-term care facility for 6 months is complaining of shortness of breath. The nurse will perform a focused assessment that includes:
1. Auscultation of the hypogastric region. 2. Client's lifestyle. 3. Use of a pulse oximeter. 4. Shape of pupils.
An important component of providing good care is for health caregivers to take care of, or nurture, themselves. Which of the following are ways that effectively assist health caregivers to nurture themselves? (Select all that apply.)
a. Be supportive of colleagues. b. Recognize and accept one's own limitations, and strive to improve. c. Take pride in oneself. d. Accept all challenges presented. e. Be responsible and accountable for one's own actions.
Which dietary instructions should be included in a teaching plan for the client newly diag-nosed with diverticula?
A. "You should eat soft foods and smaller meals because they are better tolerated." B. "You have no dietary restrictions; you may eat anything you wish." C. "You should avoid drinking liquids with your meals." D. "You should avoid dairy products."
The client remains unconscious in the operating room while the nurse assesses the five-member team of people to move the client from the surgical table to a stretcher. Which is a suitable action for the nurse before the moving the client?
1. Assign a specific role to each person for the transfer. 2. Instruct the surgeon to stand at the head of the client. 3. Suspend the IVs and Foley catheter from the stretcher. 4. Wrap client in a sheet to prevent injury to arms and legs