{"id":136397,"date":"2024-09-10T14:45:44","date_gmt":"2024-09-10T14:45:44","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=136397"},"modified":"2024-09-10T14:45:46","modified_gmt":"2024-09-10T14:45:46","slug":"a-client-with-chronic-kidney-disease-reports-to-the-nurse-of-feeling-increasingly-tired","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2024\/09\/10\/a-client-with-chronic-kidney-disease-reports-to-the-nurse-of-feeling-increasingly-tired\/","title":{"rendered":"A client with chronic kidney disease reports to the nurse of feeling increasingly tired"},"content":{"rendered":"\n

A client with chronic kidney disease reports to the nurse of feeling increasingly tired. The client receives injections for epoetin alfa three times a week. Which laboratory value should the nurse review?<\/p>\n\n\n\n

A.
Liver enzymes.<\/p>\n\n\n\n

B.
Complete blood count.<\/p>\n\n\n\n

C.
Serum electrolytes.<\/p>\n\n\n\n

D.
Platelet count.<\/p>\n\n\n\n

The Correct Answer and Explanation is :<\/mark><\/strong><\/p>\n\n\n\n

The correct answer is B. Complete blood count (CBC)<\/strong>.<\/p>\n\n\n\n

Explanation:<\/h3>\n\n\n\n

Epoetin alfa is a synthetic form of erythropoietin, a hormone that stimulates red blood cell production. It’s commonly prescribed to patients with chronic kidney disease (CKD) who have anemia due to the kidneys’ reduced ability to produce erythropoietin naturally. The primary laboratory value the nurse should monitor in this scenario is the Complete Blood Count (CBC) because it provides crucial information about the patient’s red blood cell levels, hemoglobin, and hematocrit.<\/p>\n\n\n\n

1. Hemoglobin and Hematocrit Levels:<\/strong><\/p>\n\n\n\n

    \n
  • Epoetin alfa is used to increase hemoglobin and hematocrit levels, which are often low in CKD patients due to anemia. By monitoring the CBC, the nurse can assess the effectiveness of the epoetin alfa therapy in improving these values. The hemoglobin level reflects the oxygen-carrying capacity of the blood, while the hematocrit measures the proportion of blood volume occupied by red blood cells. An increase in these values indicates a positive response to treatment.<\/li>\n<\/ul>\n\n\n\n

    2. Assessment of Anemia:<\/strong><\/p>\n\n\n\n

      \n
    • If a patient reports increased fatigue despite receiving epoetin alfa, this could suggest that the treatment is not adequately addressing the anemia or that there might be other underlying issues. A CBC can help determine if the current dose of epoetin alfa is sufficient or if adjustments are needed. Persistent fatigue may indicate that hemoglobin levels have not risen as expected.<\/li>\n<\/ul>\n\n\n\n

      3. Monitoring for Side Effects:<\/strong><\/p>\n\n\n\n

        \n
      • Epoetin alfa therapy can sometimes lead to elevated hemoglobin levels, which can cause complications such as hypertension or increased risk of thrombosis. Regular monitoring of the CBC helps ensure that hemoglobin levels are within a safe range and helps prevent potential adverse effects of the medication.<\/li>\n<\/ul>\n\n\n\n

        While liver enzymes (Option A), serum electrolytes (Option C), and platelet count (Option D) are important for overall health monitoring, they are not the primary focus in assessing the efficacy of epoetin alfa therapy or the specific complaint of increasing fatigue related to anemia. The CBC is the most relevant test for evaluating the impact of epoetin alfa on the patient\u2019s anemia and overall response to treatment.<\/p>\n","protected":false},"excerpt":{"rendered":"

        A client with chronic kidney disease reports to the nurse of feeling increasingly tired. The client receives injections for epoetin alfa three times a week. Which laboratory value should the nurse review? A.Liver enzymes. B.Complete blood count. C.Serum electrolytes. D.Platelet count. The Correct Answer and Explanation is : The correct answer is B. Complete blood […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-136397","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/136397","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=136397"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/136397\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=136397"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=136397"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=136397"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}