A client is to receive darbepoetin alfa (Aranesp) adjunctive medication during chemotherapy. The client says, "Not another drug. Why do I need this one?" How should the nurse respond?
1. "I know you are tired of drugs, but this is just one more."
2. "This drug will help you grow red blood cells."
3. "This drug will help keep you from getting infections."
4. "This is an erythropoiesis-stimulating factor."
5. "This drug will help you get more oxygen around to your tissues so you feel better."
2,5
Rationale 1: This response does not answer the client's question.
Rationale 2: Darbepoetin alfa (Aranesp) is an erythropoiesis-stimulating factor.
Rationale 3: Darbepoetin alfa (Aranesp) does not increase immunity.
Rationale 4: The nurse should explain the medication in terms the client can understand.
Rationale 5: Darbepoetin alfa (Aranesp) stimulates production of red blood cells, which carry oxygen. Getting additional oxygen to the tissues helps the client feel better.
Global Rationale: Darbepoetin alfa (Aranesp) is an erythropoiesis-stimulating factor, which stimulates production of red blood cells, which carry oxygen. Getting additional oxygen to the tissues helps the client feel better. The response about knowing the patient must be tired of drugs does not address the question. Darbepoetin alfa (Aranesp) does not increase immunity. The nurse should explain the medication in terms the client can understand.
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