Which laboratory value indicates that the epoetin alfa (Procrit, Epogen) therapy is effective?
A. Platelet count has decreased from 80,000 to 50,000.
B. Segmented neutrophils outnumber the band neutrophils.
C. Serum potassium level has increased from 3.5 to 4.5 mEq/L
D. Red blood cell count has increased from 2.2 million to 3.0 million.
D
Epoetin alfa is a growth factor (erythropoietin) that is specific for red blood cell production. An increase in the red blood cell count indicates effectiveness of this therapy.
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A woman has painful hemorrhoids after a vaginal birth. Her husband brings her a donut pillow to sit on. What response by the nurse is best?
A. "A lot of women get good pain relief from these." B. "Donut pillows actually increase hemorrhoid pain." C. "I will have to get permission for her to use this." D. "That was nice of you, but these don't work well."
A short-term outcome that can be identified for a client completing his fourth alcohol detoxification
program in 1 year is: that the client will a. use denial and rationalization in a healthier way. b. identify constructive outlets for anger. c. state that he sees the need for ongoing treatment. d. develop a dependent relationship with one staff member.
Certain bacteria are resistant to the antibiotic penicillin. This can be attributed to:
A. the broad-spectrum nature of penicillin. B. the ineffective response toward gram-positive bacteria. C. the beta-lactamase enzyme produced by the resistant bacteria. D. chemoprophylaxis.
The nurse is caring for a patient of the Muslim faith who prays ritually several times daily. The patient tells the nurse, "I don't know how I can possibly pray here in the hospital using my prayer rugs." What is the nurse's best response?
1. "Prayer is an important part of healing for every patient. I will make sure you can have your prayer rugs here in the hospital." 2. "Prayer using a prayer rug is not usually encouraged in the hospital. I will ask my nursing supervisor about your request." 3. "I understand that this ritual is important to you. I will do my best to make sure you have your prayer rugs here in the hospital." 4. "I understand that this ritual is important to you. While prayer using a prayer rug is not encouraged in the hospital, I will see what I can do."