A patient is receiving bone marrow transplantation for cancer and receives filgrastim (Neupogen). The patient reports abdominal pain in the left upper quadrant. The nurse will perform which action?
a. Administer acetaminophen 650 mg.
b. Administer an antiemetic medication.
c. Report a potentially life-threatening event.
d. Request an order for cardiac enzyme levels.
ANS: C
Splenic rupture can occur with this drug and is manifested by pain in the left upper quadrant. The nurse should report the abdominal pain to the provider so the patient can be evaluated for splenic rupture.
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A nurse reviews the following data in the chart of a client with burn injuries:
Admission Notes Wound Assessment 36-year-old female with bilateral leg burns NKDA Health history of asthma and seasonal allergies Bilateral leg burns present with a white and leather-like appearance. No blisters or bleeding present. Client rates pain 2/10 on a scale of 0-10. Based on the data provided, how should the nurse categorize this client's injuries? a. Partial-thickness deep b. Partial-thickness superficial c. Full thickness d. Superficial
A 16-year-old female complains of sudden left-sided lower quadrant abdominal pain. Last menstrual period was 2 weeks ago. On physical examination, the abdomen is non-tender with no masses and no organomegaly
Bowel sounds are normal in 4 quadrants. Pelvic examination is within normal limits. Abdominal CT scan is negative. Pregnancy test is negative. These signs and symptoms are consistent with: A. Ovarian cancer B. Hydatidiform mole C. Endometriosis D. Follicular cyst
As part of a prenatal class about the structures involved in pregnancy and their function, the nurse discusses the placenta, explaining that its function is to:
A) Prevent passage of antibodies from mother to child B) Provide a direct exchange of blood between mother and child C) Provide an exchange of metabolic products between mother and child D) Prevent passage of teratogenic agents from mother to child
An advantage of using a broad-spectrum antibiotic is that:
1. it is effective against a large number of organisms. 2. it is effective against a small number of organisms. 3. it has a high potency. 4. it produces a large number of side effects.