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A 55-yr-old patient with end-stage kidney disease (ESKD) is scheduled to receive a prescribed dose of epoetin alfa (Procrit). Which information should the nurse report to the health care provider before giving the medication?

A. Creatinine 1.6 mg/dL.
B. Oxygen saturation 89%.
C. Hemoglobin level 13 g/dL.
D. Blood pressure 98/56 mm Hg.

1 Answer

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Final Answer:

The information that the nurse should report to the health care provider before giving the medication is Oxygen saturation 89%,So, the correct option is b.

Step-by-step explanation:

Maintaining adequate oxygen saturation is crucial for patients with end-stage kidney disease (ESKD) receiving epoetin alfa. Epoetin alfa is a medication that stimulates red blood cell production and is commonly used in patients with ESKD to manage anemia. Oxygen saturation is a key indicator of the blood's ability to carry oxygen to the body tissues. An oxygen saturation level of 89% is below the normal range (usually 95% or higher), indicating potential oxygen deficiency, which could compromise the effectiveness of epoetin alfa therapy.

In patients with ESKD, compromised kidney function may lead to reduced erythropoietin production, resulting in anemia. Epoetin alfa helps address this by stimulating the production of red blood cells. However, if the patient has poor oxygen saturation, it may indicate an underlying respiratory or cardiovascular issue that needs attention before administering a medication aimed at optimizing red blood cell levels. Therefore, reporting the low oxygen saturation to the health care provider is essential to ensure the safety and effectiveness of the prescribed epoetin alfa therapy.

In summary, the nurse should prioritize addressing the low oxygen saturation level before administering epoetin alfa to the 55-year-old patient with ESKD. This proactive approach ensures the patient's overall well-being and enhances the likelihood of a positive response to the prescribed medication,Thus, the correct option is b.

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