Question

A client with renal failure has an order for erythropoietin (Epogen) to be given subcutaneously. The nurse should teach the client to report which of the following? A. Severe headache B. Slight nausea C. Decreased urination D. Itching

Short answer

Answer: A. Severe headache

Step-by-step solution

- Understanding the question

First, we need to understand the context of this question. The client has renal failure and has been prescribed erythropoietin (Epogen), which is a medication that helps in the production of red blood cells. It is given subcutaneously, meaning it is injected just under the skin. The nurse needs to teach the client about potential side effects and which of them should be reported.

- Analysing option A: Severe headache

Severe headache can be a sign of several health issues, and in this context, it could be linked with a possible rise in blood pressure due to erythropoietin therapy. Elevated blood pressure is a potential side effect of erythropoietin, and in clients with renal failure, it needs to be monitored carefully. So, reporting severe headaches is essential.

- Analysing option B: Slight nausea

Slight nausea could be a common side effect of many medications, but it is generally not considered a serious problem that requires immediate attention. In this case, reporting slight nausea might not be as crucial as reporting other potentially more serious symptoms.

- Analysing option C: Decreased urination

Decreased urination might be a sign of worsening renal function, which is an important concern for clients with renal failure. However, since erythropoietin primarily affects the production of red blood cells and not kidney function, decreased urination might not be the most essential symptom to report in this particular case.

- Analysing option D: Itching

Itching can be an indication of an allergic reaction to the medication, but in the context of erythropoietin therapy, itching is not a common side effect. It would not be considered a high-priority symptom for the client to report.

- Selecting the best option

Considering the potential implications of each possible side effect, the most important symptom for the client to report in this case is option A - Severe headache. This can indicate elevated blood pressure due to erythropoietin treatment which can be a concern in clients with renal failure. So, the answer is (A) Severe headache.