A client with chronic renal failure is prescribed epoetin alfa (Epogen). Which outcome indicates that the medication is effective?

Correct Answer: C

Rationale: The correct answer is C: Improved hemoglobin levels. Epoetin alfa is a medication used to treat anemia in patients with chronic renal failure by stimulating red blood cell production. Improved hemoglobin levels indicate that the medication is effective in addressing the anemia associated with renal failure. Increased urine output (A) is not a direct outcome of epoetin alfa therapy. Decreased blood pressure (B) and stable potassium levels (D) are not specific indicators of the medication's effectiveness in treating anemia.

Correct Answer: A

Rationale: The correct answer is A: Dry cough. Lisinopril, an ACE inhibitor, commonly causes a dry cough due to the accumulation of bradykinin. This side effect can be bothersome and non-productive. Other choices are incorrect because weight gain is not a common side effect of lisinopril but rather a side effect of some other antihypertensive medications. Tachycardia is not associated with lisinopril; in fact, it can cause bradycardia in some cases. Hyperglycemia is not a common side effect of lisinopril and is more commonly associated with other classes of antihypertensive medications.

Correct Answer: B

Rationale: The correct answer is B: Lowered cholesterol levels. Atorvastatin is a statin medication used to lower cholesterol levels, reducing the risk of further cardiovascular events in patients with a history of MI. Lowering cholesterol helps prevent plaque buildup in arteries, reducing the likelihood of another MI. Increased blood pressure (A) and decreased heart rate (C) are not direct indicators of atorvastatin's effectiveness. Improved liver function (D) may be a consideration due to potential side effects, but the primary goal of atorvastatin is to lower cholesterol levels to prevent cardiovascular events.

Correct Answer: C

Rationale: The correct answer is C because the behavior exhibited by the resident may stem from touch deprivation rather than being intentional sexual harassment. Here's a step-by-step rationale: 1. Understanding the resident's age and environment (extended care facility) helps in interpreting his behavior. 2. The resident's actions suggest a need for touch, which is common in older adults who may lack physical contact. 3. Educating the resident on appropriate ways to express his need for touch can address the underlying issue. 4. Reassigning the UAP or reporting the incident as sexual harassment (options A and B) may not address the root cause of the behavior and could potentially harm the resident's well-being. In summary, choice C focuses on addressing the resident's potential touch deprivation in a compassionate and understanding manner, making it the best assessment of the situation.

Correct Answer: A

Rationale: The correct answer is A: Exercise in a swimming pool. This option is ideal for a 16-year-old with JRA because it provides a low-impact environment that helps strengthen muscles and improve joint mobility without putting excessive stress on the joints. Swimming also helps reduce pain and stiffness associated with JRA. Choice B (Splint affected joints during activity) is incorrect because splinting may restrict movement and hinder muscle strengthening. Choice C (Perform passive range of motion exercises twice daily) is not as effective as active exercises in improving muscle strength and joint mobility. Choice D (Begin a training program of lifting weights and running) can be too high-impact and may exacerbate joint inflammation and pain in individuals with JRA.