Difficulty: Medium
Average Score: 89%
Simulated
A client with anemia secondary to chronic kidney disease (CKD) started a prescription for epoetin alfa two months ago. Which client finding best indicates that the medication is effective? Reference Range: Hemoglobin (Hgb) [14 to 18 g/dL (8.7 to 11.2 mmol/L)]
Correct answer
D
Rationale
Epoetin alfa stimulates red blood cell production, directly increasing hemoglobin levels. A rise to 12 g/dL, though below the male reference range, objectively indicates effectiveness in treating anemia. Dietary changes, subjective energy improvements, or iron therapy tolerance are less direct measures.