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NCLEX Question of the Day
Review the question, check the correct answer, and read the rationale before tomorrow's prompt arrives.
A nurse is preparing to administer epoetin alfa to a client with chronic kidney disease. What is an important consideration for this medication?
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Correct answer Monitor the client's hemoglobin levels to avoid levels above 12 g/dL.
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Monitor the client for signs of hypotension after administration.
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Expect a rapid increase in hemoglobin levels within 24 hours.
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Administer the medication intravenously for immediate effect.
Rationale
When administering epoetin alfa, it is important to monitor the client's hemoglobin levels to avoid levels above 12 g/dL, as higher levels can increase the risk of cardiovascular events. The medication is usually given subcutaneously and may take several weeks to show a gradual increase in hemoglobin levels. Hypotension is not a common side effect of epoetin alfa.
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