Final answer:
The nurse should discuss the importance of monitoring O2 saturation levels and regular checks of Hemoglobin levels in the context of erythropoietin treatment, as EPO stimulates erythrocyte production and aiming to improve oxygen delivery. Option b.
Step-by-step explanation:
A nurse in a clinic receiving a phone call from a client about a new prescription for erythropoietin (EPO) would have to provide important information regarding its use and monitoring. Given the options provided:
- The client does not need an ESR test weekly.
- The client should have their Hemoglobin (Hgb) checked regularly, but the frequency can vary depending on the medical condition being treated and the protocol of the healthcare provider. Twice a week may be more frequent than necessary unless specifically indicated by the provider.
- Monitoring O2 saturation levels can be relevant in some cases to assess the efficacy of EPO in improving oxygen delivery, especially because EPO increases the production of erythrocytes (red blood cells).
- EPO administration does not directly affect folic acid production; however, patients may need supplemental folic acid if their erythropoiesis is being stimulated because folic acid is a necessary component for red blood cell production.
Therefore, among the choices, monitoring O2 saturation levels might be a key aspect to discuss with the client. However, Option B regarding Hemoglobin (Hgb) checks is also important, although 'twice a week' might not be the standard for all patients and could be an excessive recommendation without further clinical context.