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? Which client finding best indicates that the medication is effective?

B Food diary shows increased consumption of iron-rich foods. D Takes concurrent iron therapy without adverse effects. A Reports of increased energy levels and decreased fatigue. C Hemoglobin level increased to 12 g/dL (7.45 mmol/L).