A child has cancer and has been treated with chemotherapy. The most recent lab value indicates that the white blood cell count is very low. Based on this result, which would the nurse expect to administer?

1. Epoetin alfa (Epogen)
2. Ondansetron (Zofran)
3. Oprelvekin (Neumega)
4. Filgrastim (Neupogen)


4
Rationale 1: Epoetin alfa (human recombinant erythropoietin) stimulates red blood cell (RBC) production.
Rationale 2: Ondansetron (Zofran) is an antiemetic.
Rationale 3: Oprelvekin (Neumega) increases platelets.
Rationale 4: Filgrastim (Neupogen) increases production of neutrophils by the bone marrow.
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Nursing

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The nurse is caring for clients on a medical urinary unit. Which client, scheduled for a urinary procedure, will be prescribed antibiotics following the procedure?

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The nurse explains that the difference between an illusion and a hallucination is that an illusion could be exemplified by (select all that apply):

1. a car backfiring being perceived as gunfire. 2. the TV news being perceived as someone talking to them. 3. hearing God's voice direct you to drive your car off the road. 4. seeing your dead spouse smile at you from a flower. 5. a spot on the wall being perceived as a spider.

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In planning care for a client with renal cell carcinoma, the nurse monitors for which electrolyte imbalance?

a. Hyponatremia b. Hypernatremia c. Hypocalcemia d. Hypercalcemia

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The community health nurse is making an initial visit to a family in preparation for treating a child with drugs to reduce hyperactivity. The most effective and efficient way for the nurse to assess the parenting style in use is to:

1. Observe the parent interacting with the child for five minutes. 2. Ask, "What rule is hardest for your child to obey?" 3. Ask, "How do you handle situations that require limit setting?" 4. Ask the children how the parents set rules.

Nursing