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A nurse is caring for a patient who has chronic renal disease and is
receiving therapy with epoetin alfa. Which lab indicates a
therapeutic response to medication?
A. Leukocyte count
B. Platelet count
C. Hematocrit
D. ESR -
correct answer ✅C. Hematocrit
Rationale: antianemic med that's indicated in patients who have
anemia, due to reduced production of endogenous erythropoietin,
which occurs in patients with ESRD or myelosuppression from
chemo. The therapeutic response is enhanced RBC production,
reflective in an increased RBC, Hgb, and Hct.
(A): epoetin alfa doesn't affect the leukocyte/WBC count.
(B): an increase in platelets is not the desired outcome.
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Exam Questions + Verified Answers
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(D): med doesn't affect the ESR, which is a measurement of
inflammation.
A nurse is providing teaching to a patient who has a history of
pancreatitis. Which of the food choices should the patient AVOID?
A. Noodles
B. Vegetable soup
C. Baked fish
D. Cheddar cheese -
correct answer ✅D. Cheddar cheese
Rationale: patients who have pancreatitis should avoid foods high
in fat. And cheddar cheese is high in fat so the patient should avoid
this food choice.
(A-C): these foods are low in fat, therefore these foods are
appropriate.
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A nurse is participating in a biological disaster simulation where
citizens are exposed to a pneumonic plague. Which interventions
should the nurse plan to use?
A. Initiate airborne precautions.
B. Administer an antitoxin.
C. Initiate droplet precautions.
D. Destroy the linens after use. -
correct answer ✅C. Initiate droplet precautions.
Rationale: use droplet precautions because pneumonic plague is
transmitted by large respiratory droplets.
(A): airborne precautions are for bacteria transmitted by smaller
droplet nuclei.
(B): the nurse caring for patients exposed to botulism should
anticipate administering an antitoxin to minimize the nerve damage
associated with this infection.
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(D): use standard precautions when handling soiled linens and
place them in a laundry bag for standard cleaning and disinfection.
A nurse is assessing an older adult patient who is receiving digoxin.
The nurse should recognize that which finding is a manifestation of
digoxin toxicity?
A. Anorexia
B. Ataxia
C. Photosensitivity
D. Jaundice -
correct answer ✅A. Anorexia
Rationale: anorexia, vomiting, confusion, headache, and vision
changes are manifestations of digoxin therapy.
(B): ataxia, which is a lack of muscle coordination, is. a
manifestation of benzodiazepine toxicity.