A client asks the nurse what is, if any, commonadverse effectof ...

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A client asks the nurse what is, if any, commonadverse effectof epoetin alfa (Procrit). What is the best response by the nurse?
 
  1. Bleeding.
  2. Ataxia.
  3. Headache.
  4. Hypertension.

Question 2

A nurse is reviewing the laboratory data of a hospitalized client. The nurse recognizes that the white blood cell (WBC) count is lower than expected. The nurse anticipates the prescriber to order which medication?
 
  1. Epoetin alfa (Epogen)
  2. Filgrastim (Neupogen)
  3. Dalteparin (Fragmin)
  4. Warfarin (Coumadin)

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Answer to Question 1

4

Rationale 1: The most frequent, and most potentially serious, adverse effect of anticoagulant and antiplatelet drugs is bleeding.
Rationale 2: Ataxia is not associated with epoetin alfa (Procrit).
Rationale 3: Headache is not associated with epoetin alfa (Procrit).
Rationale 4: Hypertension is a common adverse effect of epoetin alfa.

Global Rationale: The most frequentadverse effect of epoetin alfa (Procrit) is hypertension that may occur in as many as 30 of patients receiving the drug. Blood pressure should be monitored during therapy, and an antihypertensive drug may be indicated.

Answer to Question 2

2

Rationale 1: Epoetin alfa (Epogen) stimulates the production of red blood cells.
Rationale 2: Filgrastim (Neupogen) stimulates the production of white blood cells.
Rationale 3: Dalteparin (Fragmin) is a low molecular weight heparin anticoagulant.
Rationale 4: Warfarin (Coumadin) is an anticoagulant.

Global Rationale: Filgrastim (Neupogen) assists in restoring white blood cell counts in a patient who has suppressed immune system. Filgrastim (Neupogen) stimulates the production of white blood cells.

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Excellent

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