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Author Question: A patient coming to the clinic for a weekly infusion of darbepoetin alpha (Aranesp) has all of the ... (Read 328 times)

ishan

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on: Jul 23, 2018
A patient coming to the clinic for a weekly infusion of darbepoetin alpha (Aranesp) has all of the following changes. For which change does the nurse hold the dose of the drug?
 
  a. Weight loss of five pounds
  b. Hemoglobin increase from 8 g/dL to 10 g/dL
  c. Blood potassium increase from 3.8 mEq/L to 4.8 mEq/L
  d. Blood pressure increase from 126/80 mm Hg to 148/92 mm Hg

Question 2

Which type of bacteria cause infection when a patient's immune system is impaired?
 
  a. Pathogenic
  b. Nonpathogenic
  c. Gram negative
  d. Opportunistic


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blfontai

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Reply #1 on: Jul 23, 2018
Answer to Question 1

D
Because these drugs increase blood cell production, the blood becomes more viscous (thicker). This effect raises blood pressure, increases clot formation, and slows blood movement through small vessels. This patient is hypertensive, so the next dose of darbepoetin can increase the pres-sure to dangerous levels and greatly increase the risk for stroke and heart attack. The drug should not be administered until the patient's blood pressure is in the normal range.

Answer to Question 2

D
Pathogenic bacteria cause disease or tissue damage while nonpathogenic bacteria do not. Oppor-tunistic bacteria cause disease or tissue damage only when the immune system is not working well.


ishan

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Reply #2 on: Jul 23, 2018
Both answers were spot on, thank you once again


blfontai

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Reply #3 on: Jul 23, 2018
Great! Please up vote :D


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