A client is prescribed a dose of oprelvekin. Prior to administration of the drug, which nursing assessment should trigger a telephone call to the provider who wrote the order?
1. Current platelet count of 25,000
2. History of myelogenous leukemia
3. History of alcohol abuse
4. Current hemoglobin of 9.6 gm/dL
Correct Answer: 2
Rationale 1: A platelet count of 25,000 is low, and the order is appropriate.
Rationale 2: Myelogenous leukemia is a contraindication for oprelvekin therapy.
Rationale 3: Liver disease calls for caution during the administration of oprelvekin, but it is not a contraindication. The order is appropriate.
Rationale 4: A hemoglobin of 9.6 gm/dL is too low and is not a contraindication for oprelvekin. The order is appropriate.
Global Rationale: Myelogenous leukemia is a contraindication for oprelvekin therapy. A platelet count of 25,000 is low, and the order is appropriate. Liver disease calls for caution during the administration of oprelvekin, but it is not a contraindication. The order is appropriate. A hemoglobin of 9.6 gm/dL is too low and is not a contraindication for oprelvekin. The order is appropriate.
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