Which of the following nursing diagnoses would provide the most plausible indication for the use of epoetin alfa (Epogen) in a patient with renal failure?
A) Risk for infection related to decreased erythropoiesis
B) Activity intolerance related to decreased oxygen-carrying capacity
C) Powerlessness-related sequelae of renal failure
D) Ineffective breathing pattern related to inadequate erythropoietin synthesis
B
Feedback:
The impaired erythropoiesis that accompanies renal failure results in fatigue and decreased stamina, symptoms that can be addressed with the administration of epoetin alfa. Decreased erythropoiesis does not constitute a risk for infection, and the patient may or may not experience feelings of powerlessness. Inadequate erythropoietin synthesis causes impaired oxygenation, but this does not normally manifest as breathing problems.
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