The client with chemotherapy-induced bone marrow suppression has received filgrastim (Neupogen). Which laboratory finding or clinical manifestation indicates that this therapy is effective?
A. The client's hematocrit is 28%.
B. The client's hematocrit is 38%.
C. The client's segmented neutrophil count is 2500/mm3.
D. The client's segmented neutrophil count is 3500/mm3.
D
Filgrastim is a single-lineage growth factor, stimulating the maturation and release of only seg-mented neutrophils. This drug is not given unless the neutrophil count is dangerously low. The near-normal range of neutrophils indicates effective therapy.
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A female patient who has recently been diagnosed with an inoperable brain tumor asks the nurse, "Do you think God punishes us?" The nurse's most helpful approach would be to:
a. sit down with the patient and ask, "What do you think?" b. touch the patient's shoulder and say, "God loves you." c. ask the patient if she would like to speak with the chaplain. d. say, "God will not give you more than you can bear."
The nurse caring for a child with impetigo notes that some of the lesions on the child's skin appear elevated and contain purulent material. Secondary lesions are also present and are honey colored. The nurse would document these lesions as
a. cysts and bullae. b. nodules and scales. c. pustules and crusts. d. vesicles and excoriations.
What is a type of nursing education program that is conducted in junior and community colleges that is nominally 2 years in length?
a. Diploma program b. Baccalaureate program c. Associate degree program d. Professional nursing program
A nurse is focusing on temperature regulation of newborns and infants. Which action will the nurse take?
a. Apply just a diaper. b. Double the clothing. c. Place a cap on their heads. d. Increase room temperature to 90 degrees.