The nurse, administering epoetin alfa (Epogen) to a patient on dialysis, explains that the medication will help replace which function of the kidney?
1. Treats the anemia seen in chronic renal failure patients on dialysis
2. Combats the effects of dialysis on bone marrow
3. Promotes elimination of nephrotoxic drugs from the body
4. Enhances absorption of iron and folate in the intestinal tract
1
Rationale 1: In chronic renal failure, erythropoietin production in the kidney declines, which suppresses RBC production, leading to anemia. Erythropoieisis-stimulating agents such as epoetin alfa increase RBC production.
Rationale 2: Epoetin alfa has no action on bone marrow.
Rationale 3: Epoetin alfa does not promote elimination of nephrotoxic drugs from the body.
Rationale 4: Epoetin alfa does not affect absorption of iron or folate.
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The nurse is caring for a terminally ill patient who is actively dying and refuses to eat anything other than a few bites of ice cream
The patient's family member approaches the nurse and requests that a feeding tube be inserted so that her loved one will not starve to death. What is the best response of the nurse? a. "Loss of appetite is a natural part of the dying process. Tube feedings would be uncomfortable and cause nausea." b. "I will contact the physician to obtain an order to insert the tube and start tube feedings." c. "Intravenous fluids would be more comfortable for the patient than a tube feeding. I will call the doctor to get the order." d. "I will listen to the patient's abdomen to make sure that bowel sounds are present and try encouraging oral fluids."
Convenience sampling + stratification = what?
a. Stratified random sampling b. Quota sampling c. Purposive sampling d. Cluster sampling
A child is diagnosed with scarlet fever. Which medication would the nurse anticipate being prescribed for this child?
A) Ibuprofen B) Acyclovir C) Penicillin V D) Doxycycline
The nurse present at the birth is reporting to the nurse who will be caring for the neonate after birth. Which information should be included for an infant who had thick meconium in the amniotic fluid?
a. The parents spent an hour bonding with the baby after birth. b. An IV was started immediately after birth to treat dehydration. c. There was no meconium below the vocal cords when they were visualized. d. The infant needed vigorous stimulation immediately after birth to initiate crying.