Which of the following nursing diagnoses would provide the most ...

[james0929]

Which of the following nursing diagnoses would provide the most plausible indication for the use of epoetin alfa (Epogen) in a patient with renal failure?
 
  A) Risk for infection related to decreased erythropoiesis
  B) Activity intolerance related to decreased oxygen-carrying capacity
  C) Powerlessness-related sequelae of renal failure
  D) Ineffective breathing pattern related to inadequate erythropoietin synthesis

Question 2

A patient is prescribed indinavir sulfate (Crixivan) for the treatment of HIV infection. What patient teaching should be provided regarding renal function?
 
  A) Drink grape juice daily for antioxidants.
  B) Drink grapefruit juice to enhance absorption.
  C) Assess for pulmonary edema.
  D) Consume at least 48 ounces of fluid per day.

[macagnavarro]

Answer to Question 1

B
Feedback:
The impaired erythropoiesis that accompanies renal failure results in fatigue and decreased stamina, symptoms that can be addressed with the administration of epoetin alfa. Decreased erythropoiesis does not constitute a risk for infection, and the patient may or may not experience feelings of powerlessness. Inadequate erythropoietin synthesis causes impaired oxygenation, but this does not normally manifest as breathing problems.

Answer to Question 2

D
Feedback:
When taking indinavir, the patient should be instructed to consume 48 ounces of water or fluid per day to prevent nephrolithiasis. The consumption of grape juice with antioxidants will assist in preventing nephrolysis but must be in sufficient amounts. The consumption of grapefruit juice is usually contraindicated. The nurse would not need to assess for pulmonary edema.

[james0929]

TY

[macagnavarro]

You're welcome