3. Which finding indicates that epoetin alfa (Epogen) has been effective?
. Negative Homans' sign, aPTT of 35 to 55.
. Guaiac-negative gastric secretions and stool.
. Hematocrit of 33%.
. Creatinine of 1.4.
Test-Taking Tip
Think: Epogen = erythropoietin = erythro (red) → increased RBCs → increased Hct.
Content Area: Adult Health, Hematological; Integrated Process: Nursing Process, Analysis; Cognitive Level: Application; Client Need/Subneed: Physiological Integrity/Pharmacological and Parenteral Therapies/Expected Effects/Outcomes
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Answer 1 is incorrect because Epogen is given to treat anemia. Negative Homans' sign and elevated activated partial thromboplastin time (aPTT) are used to monitor thromboembolism. Answer 2 is incorrect because Epogen is given to treat anemia. Guaiac-negative gastric secretions might indicate effectiveness of stress ulcer prevention. Answer 3 is correct because epoetin alfa (Epogen) stimulates the development of red blood cells (RBCs). It is given to anemic clients to increase hematocrit (Hct). Answer 4 is incorrect because Epogen is given to treat anemia. It is not measured by creatinine.