A patient has been receiving epoetin alfa
(Epogen) for severe iron-deficiency anemia. Today, the provider changed the order to darbepoetin (Aranesp). The patient questions the nurse, "What is the difference in these drugs?" Which response by the nurse is correct?
a. "There is no difference in these two drugs."
b. "Aranesp works faster than Epogen to raise your red blood cell count."
c. "Aranesp is given by mouth, so you will not need to have injections."
d. "Aranesp is a longer-acting form, so you will receive fewer injections."
ANS: D
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A patient on a medical-surgical floor is preparing for discharge. The nurse realizes through her teaching that the patient is not able to read the medication bottles. The nurse appropriately intervenes by:
A) Asking the social worker to investigate nursing home placement B) Asking the social worker to investigate community support agencies C) Informing that patient that surgery will correct the vision problem D) Informing the patient that she will need to go to a rehabilitation facility for vision training
A client is being given two highly protein-bound drugs concurrently. What is most likely to be the result of this administration?
a. More free drug in circulation b. Less free drug in circulation c. More drug bound to protein d. More drug excreted in the urine
The parents of a 2-year-old girl are frustrated by the frequent confrontations they have with their child. Which is the best anticipatory guidance the nurse can offer to prevent confrontations?
A) "Respond in a calm but firm manner." B) "You need to adhere to various routines." C) "Put her in time-out when she misbehaves." D) "It's important to toddler-proof your home."
A patient with a left tympanic membrane tear arrives for a left lateral graft tympanoplasty with the use of an operating microscope. What procedure and diagnosis codes would be reported?
A. 69631, H72.02 B. 69641, H72.02 C. 69631,69990,H72.92 D. 69641,69990,H72.92