The nurse is caring for a patient who has received epoetin alfa ...

[bobbysung]

The nurse is caring for a patient who has received epoetin alfa (Epogen) 2 to 3 weeks prior to a scheduled surgery. Which statement best explains the goal for Epogen administration prior to surgery?
 
  a. The patient will only require a single anti-biotic immediately prior to surgery.
  b. The patient will have greater numbers of white blood cells (WBCs) following sur-gery.
  c. The patient will not require a blood trans-fusion during surgery.
  d. The patient will maintain stable potassium levels during surgery.

Question 2

The presence of which diagnostic criteria are used to confirm the diagnosis of irritable bowel syndrome (IBS)? (select all that apply.)
 
  a. Abdominal pain that increases with defe-cation
  b. Abdominal pain with a change in stool consistency
  c. Mucorrhea
  d. Clay colored stools that float
  e. Bloating

[asware1]

Answer to Question 1

C
Epoetin alfa (Epogen) is given to increase red blood cell production prior to surgery with the goal of having a bloodless surgery. Epoetin alfa (Epogen) will not affect the need for an antibiotic preoperatively, nor will it affect WBCs or serum potassium levels.

Answer to Question 2

B, C, E
Diagnosis of IBS is based on clinical manifestations and ruling out the presence of organic bowel disease. Diagnostic criteria include abdominal pain with a change in stool consistency, mucus in the stool (mucorrhea), and abdominal bloating. IBS pain is relieved with defecation; clay colored stools are associated with problems with the gallbladder.