A client with preexisting bipolar disorder is receiving filgrastim (Neupogen) for the management of neutropenia following chemotherapy treatments for lymphocytic leukemia
The oncology nurse recognizes that which preparation for bipolar disorder could complicate the management of the client's leukemia?
1. Clonazepam (Klonopin)
2. Valproic acid (Depakene)
3. Carbamazepine (Tegretol)
4. Lithium carbonate
Correct Answer: 4
Rationale 1: Clonazepam does not interact with filgrastim.
Rationale 2: Valproic acid does not interact with filgrastim.
Rationale 3: Carbamazepine does not interact with filgrastim.
Rationale 4: Lithium has a synergistic effect when administered concomitantly with filgrastim.
Global Rationale: Lithium has a synergistic effect when administered concomitantly with filgrastim. Clonazepam, valporic acid, and carbamazepine do not interact with filgrastim.
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After the older adult dies, the brother who has a history of alcohol abuse upsets the family by going on a drinking binge instead of attending the funeral. Which of the following is the best de-scription of the brother's behavior?
a. Personality disorder c. Disenfranchised grief b. Disrespectful atti-tude d. Chronic grief
The informatics nurse is explaining smart technology to a group of staff nurses. Which statement suggests that the use of mobile devices in the healthcare setting can enhance patient care?
A) Personal access to patient's home address B) A finite amount of space on portable devices to receive instantaneous lab results C) The elimination of paper copies of lab reports D) The elimination of a unit secretary position because all data are housed on the mobile device
The nurse manager suggests that staff nurses look at abstracts of the Cochrane Reviews for ideas to change their practice. What should these nurses do? Standard Text: Select all that apply
1. Access the free abstracts of these reviews online. 2. Request the facility purchase these books for the hospital library. 3. Call the Cochrane Center to subscribe to these abstracts. 4. Expect to find a great deal of material to review. 5. Plan to learn about the research methods used in the studies reviewed.