When caring for the client receiving epoetin alfa recombinant, the nurse should:
a. shake the product thoroughly prior to administration.
b. monitor the client for hypotension.
c. notify the health care provider if the hematocrit reaches 36%.
d. monitor the client's white blood cell (leukocyte) count.
ANS: C
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A Incorrect: These products should not be shaken.
B Incorrect: Client should be monitored for hypertension.
C Correct: If the client's hematocrit reaches 36%, the dose of epoetin should be reduced.
D Incorrect: These do not need to be monitored related to epoetin.
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