A nurse who works in an outpatient chemotherapy unit has received an order to administer filgrastim (Neupogen) to a client who received chemotherapy this morning
The client's white blood cell count is dropping rapidly. The nurse asks the client to return to the unit tomorrow for the filgrastim. What is the rationale for the nurse's request?
1. If given today, the increase in the white blood cell count will occur too rapidly.
2. The actions of the filgrastim and chemotherapy drugs will oppose each other.
3. If the filgrastim is given today, the risk of liver damage will increase.
4. There is an increased risk of adverse reaction to both drugs.
Correct Answer: 2
Rationale 1: The white cell count will not increase rapidly, and it might not increase at all.
Rationale 2: Because antineoplastic drugs and CSFs produce opposite effects, filgrastim is not administered until at least 24 hours after a chemotherapy session.
Rationale 3: There is no increase in the risk of liver damage if these two drugs are given closely together.
Rationale 4: Both drugs have adverse reactions, but they do not potentiate each other.
Global Rationale: Because antineoplastic drugs and CSFs produce opposite effects, filgrastim is not administered until at least 24 hours after a chemotherapy session. The white cell count will not increase rapidly, and it might not increase at all. There is no increase in the risk of liver damage if these two drugs are given closely together. Both drugs have adverse reactions, but they do not potentiate each other.
You might also like to view...
You are an ICU nurse caring for a trauma patient. The patient is complaining of having trouble breathing with abdominal pain. An ABG reveals the following results: pH 7.28, PaCO2 50 mm Hg, HCO3- 23 mEq/L
What would you know is happening with this patient? A) Respiratory acidosis B) Metabolic alkalosis C) Respiratory alkalosis D) Mixed acid-base disorder
While auscultating a patient's abdomen, the student notes abnormal bowel sounds. The nurse's preceptor asks the student to describe the sounds. The student describes them as high-pitched, rushing sounds
The preceptor, an experienced nurse, would know that these sounds indicate what? A) Diarrhea B) Adynamic ileus C) Intestinal fluid D) Partial intestinal obstruction
The nurse instructs the client who takes HCTZ daily that he should consume which of the following foods in his diet?
a. bananas and oranges c. caffeine and chocolate b. peanut butter and potatoes d. red beets and green leafy vegetables
Identify one of the primary reasons for an advance practice nurse (APN) developing a business plan?
a. To monitor monthly actual expense to budgeted expense b. To reduce the likelihood of litigation action c. To identify the marketing needed to grow the practice d. To assure accreditation standards are met