The nurse prepares to administer synthetic erythropoietin to a ...

[tuffie]

The nurse prepares to administer synthetic erythropoietin to a client who has been admitted with pallor, fatigue, and weakness. The nurse expects the therapeutic effect of this treatment to be the stimulation of the production of:
 
  1. Platelets.
   2. White blood cells.
   3. Lymph fluid.
   4. Red blood cells.

Question 2

A 78-year-old client experiences a tonic-clonic (grand mal) seizure. The nurse notes the time at the onset of the seizure. The seizure continues, exceeding 10 minutes. The nurse notifies the physician.
 
  Which of the following interventions can the nurse likely anticipate being ordered? 1. Administer 0.9 sodium chloride IV.
   2. Administer an intravenous bolus of 10 dextrose.
   3. Administer an intramuscular injection of diazepam.
   4. Administer 5 dextrose solution IV.

[fwbard]

Answer to Question 1

4. Red blood cells.

Rationale: Erythropoietin is a hormone produced in the body to stimulate production of red blood cells and synthetic forms are available for administration to cancer clients or others with significantly low red blood cell counts. Erythropoietin will not stimulate the production of platelets, white blood cells, or lymph fluid.

Answer to Question 2

1. Administer 0.9 sodium chloride IV.

Rationale:
Grand mal, or tonic-clonic, seizure requires prompt management if it continues after 10 minutes has elapsed. IV solutions are indicated. The IV solution of choice is 0.9 sodium chloride. A dextrose solution is not indicated. Diazepam may be administered but not intramuscularly. It will be given intravenously.

[tuffie]

Both answers were spot on, thank you once again

[fwbard]

Great! Please up vote