A client is scheduled to have chemotherapy Thursday at 9 a.m. Filgrastim (Neupogen) has also been ordered. The nurse should plan which dosing time for the Neupogen?
1. No later than 9 a.m. on Wednesday
2. At the time of the chemotherapy infusion
3. Immediately following the chemotherapy
4. No earlier than 9 a.m. Friday
5. Immediately before the chemotherapy
Correct Answer: 1,4
Rationale 1: Neupogen should be given at least 24 hours before chemotherapy.
Rationale 2: The effectiveness of the Neupogen will be diminished by the chemotherapy.
Rationale 3: The effectiveness of the Neupogen will be diminished by the chemotherapy.
Rationale 4: Neupogen should be given no earlier than 24 hours after chemotherapy.
Rationale 5: The effectiveness of the Neupogen will be diminished by the chemotherapy.
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