Author Question: A nurse caring for a 28-year-old woman with renal failure is to start the patient on epoetin alfa ... (Read 48 times)

james9437 · **on:** Jul 23, 2018

A nurse caring for a 28-year-old woman with renal failure is to start the patient on epoetin alfa therapy for iron replacement. What will the nurse assess before initiating therapy?

A) Weight
B) Last menstrual period
C) Intake and output (I & O) for a 24-hour period
D) Blood type

Question 2

The nursing instructor is discussing the physiology of pregnancy with her clinical group.

What hormone, produced during pregnancy, would the instructor tell the students helps to maintain the pregnancy until birth of the fetus? Options A, B, and C are not correct. A) High levels of estrogen only
B) High levels of estrogen, low levels of progesterone
C) Low levels of estrogen, high levels of progesterone
D) High levels of estrogen and progesterone

ryhom · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

B
Feedback:
The use of epoetin alfa is not recommended during pregnancy or lactation because of potential adverse effects to the fetus or baby. It is important to determine that the patient is not pregnant before drug therapy has started so the nurse would assess when the patient last menstruated. The patient's weight, I & O, and blood type are not important factors in determining whether the drug can be used.

Answer to Question 2

D
Feedback:
In a pregnant woman, both estrogen and progesterone hormones have specific functions. High levels of both hormones are needed for the maintenance of pregnancy.