Aclient with severe anemia is admitted to the hospital. because of religious beliefs, the client is refusing blood transfusions. the nurse anticipates pharmacologic therapy with which drug to stimulate the production of red blood cells

the best drug to use is epoetin alfa. it is also referred to as epogen or procrit and it an effective alternative in treatment of an individual with chronic anemia. its acts as a hormone referred to as erythropoietin which stimulates synthesis of red blood cells in bone marrow. in other words it acts a messenger to tell the bone marrow that it should synthesize more erythrocytes.  

The options were  
a) Eltrobopag (Promacta) 
b) Epoetin alfa (Epogen) 
c) Filgrastim (Neupogen) 
d) Sargramostim (Leukine) 
The answer is b) Epoetin alfa (Epogen) 
In human body Erythropoietin is responsible for generation of red blood cells but due to some failure or medicine when amount of Erythropoietin lowers in the body Epoetin alfa (Epogen) is injected externally in the body which signals the bone marrow to produce more Red Blood Cells