The nurse anticipates administering which drug to stimulate neutrophil production in clients with myelosuppression?

1. Epoetin
2. Interferon alfa
3. Filgrastim
4. Oprelvekin


Correct Answer: 3
Rationale 1: Epoetin stimulates the production of RBCs.
Rationale 2: Interferon alfa is a biologic response modifier used to treat cancer.
Rationale 3: This is the correct answer.
Rationale 4: Oprelvekin stimulates the production of platelets.
Global Rationale: Colony stimulating factors such as filgrastim (Neupogen) increase neutrophil production in the bone marrow and enhance the phagocytic and cytotoxic functions of existing neutrophils. Epoetin stimulates production of RBCs and oprelvekin stimulates production of platelets. Interferon alfa does not affect cell colony growth.

Nursing

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Which actions by a nurse are most appropriate when caring for a hospice patient? Select all that apply

a. Giving choices b. Fostering personal control c. Explaining curative options d. Supporting the patient's spirituality e. Offering interventions that convey respect f. Providing answers to the patient's questions about spirituality

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The nurse instructs a group of community members on the difference between benign and malignant neoplasms. Which participant statements indicate that teaching has been effective?

Select all that apply. A) "Benign tumors grow slowly." B) "Malignant tumors are easy to remove." C) "Benign tumors stay in one area." D) "Malignant tumors push other tissue out of the way." E) "Malignant tumors can grow back."

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Restlessness, diaphoresis, severe dyspnea, tachypnea, hemoptysis, audible wheezing, and crackles are signs and symptoms of

a. heart failure. b. respiratory failure. c. pulmonary edema. d. peripheral edema.

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