The nurse is caring for a patient who begins to complain of shortness of breath. The nurse assesses the patient and notes 3+ pitting edema bilaterally in the lower extremities. Which medi-cation taken by the patient causes the most concern?
a. Epoetin alfa
b. Filgrastim (granulocyte colony–stimulating factor)
c. Oprelvekin (interleukin-11)
d. Sargramostim (granulocyte-macrophage colony-stimulating factor)
C
Oprelvekin causes the kidneys to retain sodium and water, which causes peripheral edema and expansion of plasma volume. Some patients experience dyspnea. Fluid retention is not an adverse effect of epoetin alfa, filgrastim, or sargramostim.
You might also like to view...
A patient has been prescribed orlistat (Xenical) for the treatment of obesity. When providing relevant health education for this patient, the nurse should ensure the patient is aware of what potential adverse effect of treatment?
A) Bowel incontinence B) Flatus with oily discharge C) Abdominal pain D) Heat intolerance
The symptoms of infectious mononucleosis generally resolve in approximately 1 to 2 weeks unless complications develop
Indicate whether the statement is true or false
Persons who deliberate about and engage in self-care are demonstrating
A. Caring agency. B. Therapeutic agency. C. Dependent care agency. D. Self-care agency.
A trauma client is being released home to complete his recovery. He is experiencing anorexia related to pain. What would be the most effective intervention for this client's anorexia?
A) Schedule procedures and medications when they are least likely to interfere with meals. B) Give small meals of food that decrease the client's pain. C) Withhold beverages for 30 minutes before and after meals. D) Control pain, nausea, or depression with medications.