Author Question: The client in renal failure is receiving epoetin alfa (Epogen). The nurse would monitor this client ... (Read 124 times)

rl · **on:** Jul 22, 2018

The client in renal failure is receiving epoetin alfa (Epogen). The nurse would monitor this client for which adverse effect of this medication?

1. Depression
2. Bradycardia
3. Fever
4. Hypertension

Question 2

A client must begin medication therapy with mycophenolate mofetil (CellCept) to prevent organ rejection following renal transplantation. The nurse plans to provide which of the following teaching points to the client?

1. Take the dose following meals.
2. Notify the physician if a fever develops.
3. Open the capsule and mix with food before use.
4. Take the medication with an aluminum-based antacid.

nixon_s · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

4

Rationale: Epoetin alfa (Epogen) is generally well tolerated, although hypertension can occur and is the most significant adverse effect. Occasionally, tachycardia may also occur. It may also cause an improved sense of well-being. Depression, bradycardia, and fever are not adverse effects.

Answer to Question 2

2

Rationale: The client should contact the physician if unusual bleeding, bruising, sore throat, mouth sores, abdominal pain, or fever occurs. Antacids containing magnesium and aluminum may decrease the absorption of the medication and should not be taken with the medication. The medication is given in combination with corticosteroids and cyclosporine. CellCept may be administered on an empty stomach. The capsules should not be opened or crushed.