A client is undergoing antineoplastic therapy. The nurse, in an effort to minimize the toxic effects of therapy, administers which growth factor?

1. Filgrastim (Neupogen)
2. Megestrol acetate (Megace)
3. Carmustine (Gliadel)
4. Teniposide (Vumon)


Correct Answer: 1

Rationale 1: Filgrastim (Neupogen) is an immunotherapy, technically a biological response modifier, and is given to minimize the toxic effects of other antineoplastics.
Rationale 2: Megestrol acetate (Megace) is incorrect because megestrol acetate (Megace) is a hormone blocker used for uterine and renal cancer.
Rationale 3: Carmustine (Gliadel) is incorrect because carmustine (Gliadel) is an alkylating agent used for Hodgkin's disease, malignant melanoma, multiple myeloma, and brain tumors.
Rationale 4: Teniposide (Vumon) is incorrect because teniposide (Vumon) is a plant extract used for acute lymphocytic leukemia.

Global Rationale: Filgrastim (Neupogen) is an immunotherapy, technically a biological response modifier, and is given to minimize the toxic effects of other antineoplastics. Megestrol acetate (Megace) is incorrect because megestrol acetate (Megace) is a hormone blocker used for uterine and renal cancer. Carmustine (Gliadel) is incorrect because carmustine (Gliadel) is an alkylating agent used for Hodgkin's disease, malignant melanoma, multiple myeloma, and brain tumors. Teniposide (Vumon) is incorrect because teniposide (Vumon) is a plant extract used for acute lymphocytic leukemia.

Nursing

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