A healthcare professional is reviewing the medical record of a client who has a new prescription for Epoetin Alfa. Which of the following findings should the professional report to the provider?

Correct Answer: C

Rationale: Chronic kidney disease is a contraindication for the use of Epoetin Alfa because it can worsen hypertension, increase the risk of cardiovascular events, and lead to adverse outcomes. Epoetin Alfa is used to treat anemia by stimulating red blood cell production, but in the presence of chronic kidney disease, it can exacerbate hypertension and contribute to cardiovascular complications.

Correct Answer: D

Rationale: Tinnitus (ringing in the ears) is an early sign of aspirin toxicity. Aspirin poisoning can cause salicylate intoxication, which includes symptoms like tinnitus, nausea, vomiting, confusion, rapid breathing, and sweating. Other signs of aspirin toxicity may include respiratory alkalosis, metabolic acidosis, hyperthermia, and even seizures. Monitoring for tinnitus is important in clients who may have aspirin toxicity as it serves as an early warning sign to prevent further complications.

Correct Answer: C

Rationale: Omeprazole should be administered in the morning on an empty stomach to maximize its effectiveness. This timing is important as omeprazole works best when taken before a meal to inhibit acid production by the stomach. Taking it on an empty stomach in the morning allows the medication to be absorbed efficiently and provides optimal therapeutic effects throughout the day.

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Correct Answer: A

Rationale: Patient education is a critical component of nursing care, especially for elderly patients who may have difficulty understanding complex medication regimens. A realistic outcome for an 86-year-old patient and their caregiver (daughter) is that they can state the proper way to take the drug. This ensures that the medication is taken correctly, reducing the risk of toxicity or underdosing. While teaching about adverse effects and symptoms of toxicity is important, expecting the patient to recall all symptoms may be unrealistic due to age-related cognitive decline. The most practical and achievable goal is ensuring the patient and caregiver understand the proper administration of the medication.

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.