A nurse is teaching a patient who has chronic renal failure who ...

[nmorano1]

A nurse is teaching a patient who has chronic renal failure who will begin receiving epoetin alfa Epogen about this drug therapy. Which statement by the patient indicates understanding of the teaching?
 
  a. If I have to start dialysis, I will have to stop taking this drug.
  b. Taking this drug will not eliminate my need for blood transfusions.
  c. Taking this medication will prevent the need for dialysis in the future.
  d. When I take this, my serum ferritin levels will increase.

Question 2

A nurse is preparing a pediatric patient for surgery and is teaching the patient and the child's parents about the use of the patient-controlled analgesia pump. The parents voice concern about their child receiving an overdose of morphine.
 
  What will the nurse do? a. Instruct the parents not to activate the de-vice when their child is sleeping.
  b. Reassure the parents that drug overdose is not possible with PCA.
  c. Suggest that the child use the PCA spa-ringly.
  d. Tell the patient that the pump can be pro-grammed for PRN dosing only.

[aloop]

Answer to Question 1

B
Epoetin alfa virtually reduces, but does not eliminate, the need for blood transfusions in patients with CRF. Dialysis is not a contraindication for taking this drug. Epoetin alfa does not prevent the need for dialysis. Epoetin alfa does not raise the serum ferritin level.

Answer to Question 2

A
The nurse should instruct parents not to activate the PCA when their child is sleeping because that can lead to drug overdose. Postoperative pain should be treated appropriately with medica-tions that are effective. Nonopioid medications are not sufficient to treat postoperative pain. Pa-tients should be encouraged to use the PCA as needed so that pain can be controlled in a timely fashion. PRN dosing is not as effective as dosing that is continuous, so a basal dose should be given as well as a PRN dose.

[nmorano1]

TY

[aloop]

You're welcome