This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: The nurse is reviewing a patient's health history. The nurse recognizes that the therapeutic ... (Read 49 times)

Anajune7

  • Hero Member
  • *****
  • Posts: 574
on: Jul 23, 2018
The nurse is reviewing a patient's health history. The nurse recognizes that the therapeutic applications for epoetin alfa include which of the folllowing? (Select all that apply.)
 
  a. Anemia of chronic renal failure (CRF).
  b. Patients with AIDS.
  c. Chemotherapy-induced anemia.
  d. Anemia in patients going to surgery.
  e. Patients with HIV who take zidovudine (AZT).
  f. Patients with tuberculosis.

Question 2

A nurse is evaluating a patient with HIV who takes zidovudine (AZT) for possible treatment with epoetin alfa.
 
  The nurse notices that the laboratory report shows endogenous erythropoietin levels of 550 milliunits/mL. To keep the treatment optimal and at a therapeutic level, what would be the most appropriate nursing action?
  a. Administer the epoetin alfa as ordered.
  b. Contact the prescriber to determine whether the dosage should be reduced.
  c. Contact the prescriber to see whether the dosage should be increased.
  d. Confer with the prescriber to see whether the order should be discontinued.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

Shshxj

  • Sr. Member
  • ****
  • Posts: 335
Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: A, C, D, E
Therapeutic uses for epoetin alfa include anemia of CRF; chemotherapy-induced anemia; anemia in patients facing surgery; and patients with HIV who take zidovudine.
Epoetin alfa is not indicated for patients with AIDS or tuberculosis.

Answer to Question 2

ANS: A
If endogenous levels of erythropoietin are at or above 500 milliunits/mL, raising them further with epoetin alfa is unlikely to help so the nurse needs to discuss the lab result and what the lowered dose should be with the prescriber.
The patient's erythropoietin level is too high so the nurse needs to discuss what dose would be best with the prescriber before giving more erythropoietin.
This is incorrect since the lab result is too high so the patient needs a lower dose of erythropoietin.
Since anemia is a side effect of Zidovudine, it is likely he will need some dose of erythropoietin to maintain hemoglobin levels. Treatment with erythropoietin can maintain or elevate erythrocyte counts and reduce the need for transfusions.


Anajune7

  • Member
  • Posts: 574
Reply 2 on: Jul 23, 2018
Gracias!

6ana001

  • Member
  • Posts: 311
Reply 3 on: Yesterday
:D TYSM

« previous next »
 

Did you know?

Nearly all drugs pass into human breast milk. How often a drug is taken influences the amount of drug that will pass into the milk. Medications taken 30 to 60 minutes before breastfeeding are likely to be at peak blood levels when the baby is nursing.

Did you know?

Automated pill dispensing systems have alarms to alert patients when the correct dosing time has arrived. Most systems work with many varieties of medications, so patients who are taking a variety of drugs can still be in control of their dose regimen.

Did you know?

Drugs are in development that may cure asthma and hay fever once and for all. They target leukotrienes, which are known to cause tightening of the air passages in the lungs and increase mucus productions in nasal passages.

Did you know?

Fatal fungal infections may be able to resist newer antifungal drugs. Globally, fungal infections are often fatal due to the lack of access to multiple antifungals, which may be required to be utilized in combination. Single antifungals may not be enough to stop a fungal infection from causing the death of a patient.

Did you know?

Hyperthyroidism leads to an increased rate of metabolism and affects about 1% of women but only 0.1% of men. For most people, this increased metabolic rate causes the thyroid gland to become enlarged (known as a goiter).

The nurse needs to note the source of the patient health history The nurse needs to note the source of the patient health history
Patients should be encouraged to bring to their health care visit all the substances that they take, Patients should be encouraged to bring to their health care visit all the substances that they take,
Lung cancer. Photograph of part of a lung removed after death. The yellow area is a large tumor and Lung cancer. Photograph of part of a lung removed after death. The yellow area is a large tumor and
Examples of Health Care Plans Examples of Health Care Plans
Patient registration form. Patient registration form.
The nurse conveys attentive listening through a posture of involvement The nurse conveys attentive listening through a posture of involvement
Video: Non-specific disease resistance mechanisms & Skin's defense barriers

For a complete list of videos, visit our video library