Author Question: A client is receiving epoetin alfa (Epogen) therapy. The nurse would evaluate the therapy as ... (Read 39 times)

formula1 · **on:** Jul 23, 2018

A client is receiving epoetin alfa (Epogen) therapy. The nurse would evaluate the therapy as successful if the client averages a _____ increase in hematocrit weekly.

Fill in the blank with the appropriate word.

Question 2

A client is hospitalized for pharmacologic management of a hematopoietic disorder secondary to chemotherapy treatment.

The client states, This sounds really bad. How will I be treated for this problem? Which responses by the nurse are appropriate?
Standard Text: Select all that apply.
1. You will probably need multiple blood transfusions.
2. In many cases we can give you medications that are very similar to substances already produced in your body.
3. We will give you medications to reverse your chemotherapy.
4. Since you are low on some blood cells, we will give you medications to increase your body's production of those cells.
5. You will need several radiation treatments to slow down production of your blood cells.

kkenney · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 2
Rationale: Epoetin alfa therapy results in a slow rise in hematocrit at a rate of about 2 per week.
Global Rationale: Epoetin alfa therapy results in a slow rise in hematocrit at a rate of about 2 per week.

Answer to Question 2

Correct Answer: 2,4
Rationale 1: Since the client has been hospitalized for pharmacologic treatment, the need for multiple blood transfusions is unlikely.
Rationale 2: Many of the medications given for hematopoietic disorders either are identical to or closely resemble substances produced in the body.
Rationale 3: The medications do reverse the actions of chemotherapy against good cells, but this is a poor answer to the client and may cause undue stress.
Rationale 4: A simple statement of the action of the medications that will be administered, along with the reason they are being given, is a good response to this client's concerns.
Rationale 5: Chemotherapy is cytotoxic to rapidly proliferating cells such as blood cells. There is no reason to give radiation treatments to further decrease those cells.
Global Rationale: Many of the medications given for hematopoietic disorders either are identical to or closely resemble substances produced in the body. A simple statement of the action of the medications that will be administered, along with the reason they are being given, is a good response to this client's concerns. Since the client has been hospitalized for pharmacologic treatment, the need for multiple blood transfusions is unlikely. The medications do reverse the actions of chemotherapy against good cells, but this is a poor answer to the client and may cause undue stress. Chemotherapy is cytotoxic to rapidly proliferating cells