A client with chronic kidney disease is prescribed epoetin alfa (Procrit). Which of the following would be appropriate for the nurse to do when administering this drug to promote optimal response? Select all that apply
A) Shake the vial vigorously prior to administration.
B) Use the vial for multiple doses.
C) Discard any unused portion after administration.
D) Administer the drug either intravenously or subcutaneously.
E) Avoid using the drug if the client is receiving dialysis.
Ans: C, D
Feedback:
When administering epoetin alfa (Procrit) to a client with chronic kidney disease, the following apply: the drug is given three times weekly IV or subcutaneously; if the client is receiving dialysis, the drug is administered into the venous access line; the drug is mixed gently during preparation for administration; shaking may denature the glycoprotein; and the vial is used for only one dose and any remaining or unused portion is discarded.
You might also like to view...
A school of nursing is using a virtual learning environment (VLE) that uses the Internet to assist faculty in developing, managing, and administering educational materials for students. Which type of nursing education content is least suited for a VLE alone?
A) A program reviewing assessment of heart and lung sounds B) A refresher program on various types of injection administration skills C) A program reviewing drug calculations and dosages for medication administration D) A program reviewing documentation for an electronic medical record
Once anticoagulation therapy has ended, the nurse would teach the patient to:
1. go back to using a razor for shaving as before therapy. 2. use caution for a while after therapy has ended. 3. remove the MedicAlert bracelet at the end of therapy. 4. resume alcohol consumption after therapy has ended.
The nurse is preparing to measure the diagonal conjugate of a pregnant patient's pelvis. Which anatomic landmarks will the nurse use to make this measurement?
A) Medial surface of the ischial tuberosities B) Posterior surface of sacrum and the axis of the ischial tuberosities C) Interior surface of the sacral prominence and the posterior surface of the symphysis pubis D) Anterior surface of the sacral prominence and the posterior surface of the symphysis pubis
When a HoverMattâ transfer and repositioning device is used,
A. four workers are needed to assist the patient with transfers. B. each worker lifts no more than 50 pounds. C. the patient is likely to slip off the mattress during transfers. D. never leave the patient alone on an inflated mattress.