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A nurse is providing teaching to a client who is receiving chemotherapy and has a new prescription for epoetin alfa. Which of the following client statements indicates an understanding of the teaching?

a. "I will avoid iron-rich foods in my diet."
b. "I should take this medication on an empty stomach."
c. "I will notify my doctor if I experience joint pain."
d. "I can stop taking the medication once I feel better."

User DanT
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1 Answer

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Final answer:

The correct client statement indicating understanding of epoetin alfa usage is, "I will notify my doctor if I experience joint pain," as epoetin alfa, like erythropoietin, can lead to adverse effects such as joint pain that the prescriber should evaluate.

Step-by-step explanation:

A client who has a new prescription for epoetin alfa as part of their chemotherapy treatment demonstrates understanding of the medication's usage by stating, "I will notify my doctor if I experience joint pain." The purpose of epoetin alfa is to stimulate red blood cell production to counteract the anemia often associated with chemotherapy. This medication functions similarly to natural erythropoietin, which is released from the kidneys when there is low oxygen and stimulates red blood cell manufacture in the bone marrow. Erythropoietin indeed increases endurance but can dangerously increase blood viscosity, highlighting why it's banned in sports but useful in certain medical scenarios like chemotherapy-induced anemia. An adequate iron intake is crucial for the efficacy of epoetin alfa, as iron is necessary for hemoglobin formation within red blood cells. Therefore, avoiding iron-rich foods would be contraindicated, and continuing the medication despite feeling better is important to maintain red blood cell production until the doctor advises otherwise.

User Ebenezer Isaac
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