The health care provider has ordered darbepoetin alfa (Aranesp) for a client who has anemia secondary to chemotherapy. What teaching should the nurse provide to the client?
Standard Text: Select all that apply.
1. "This medication will help to increase your red blood cell count."
2. "You can take this medication by mouth."
3. "You will need to come in once a week for this medication."
4. "This drug has fewer side effects than the epoetin alfa we used to give."
5. "You should see maximum results from this medication in 2 to 4 weeks."
Correct Answer: 1,3,5
Rationale 1: Increasing red blood cell count is the desired effect of darbepoetin alfa.
Rationale 2: Darbepoetin alfa is administered subcutaneously or intravenously.
Rationale 3: The benefit of darbepoetin alfa over epoetin alfa is that it has a longer duration of action and can be given once a week.
Rationale 4: Both drugs have similar adverse effects and the same black box warning.
Rationale 5: Maximum response occurs in 2 to 4 weeks.
Global Rationale: Increasing red blood cell count is the desired effect of darbepoetin alfa. The benefit of darbepoetin alfa over epoetin alfa is that it has a longer duration of action and can be given once a week. Maximum response occurs in 2 to 4 weeks. Darbepoetin alfa is administered subcutaneously or intravenously. Both drugs have similar adverse effects and the same black box warning.
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