A client is undergoing antineoplastic therapy. The nurse, in an effort to minimize the toxic effects of therapy, administers which growth factor?
1. Filgrastim (Neupogen)
2. Megestrol (Megace)
3. Carmustine (Gliadel)
4. Teniposide (Vumon)
1
Rationale 1: Filgrastim (Neupogen) is an immunotherapy, technically a biological response modifier, and is given to minimize the toxic effects of other antineoplastics.
Rationale 2: Megestrol (Megace) is a hormone blocker used for uterine and renal cancer.
Rationale 3: Carmustine (Gliadel) is an alkylating agent used for Hodgkin disease, malignant melanoma, multiple myeloma, and brain tumors.
Rationale 4: Teniposide (Vumon) is a plant extract used for acute lymphocytic leukemia.
Global Rationale: Filgrastim (Neupogen) is an immunotherapy, technically a biological response modifier, and is given to minimize the toxic effects of other antineoplastics. Megestrol (Megace) is incorrect because it is a hormone blocker used for uterine and renal cancer. Carmustine (Gliadel) is incorrect because it is an alkylating agent used for Hodgkin disease, malignant melanoma, multiple myeloma, and brain tumors. Teniposide (Vumon) is incorrect because it is a plant extract used for acute lymphocytic leukemia.
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