Which laboratory test will the nurse use to determine whether filgrastim (Neupogen) is effective for a patient with acute lymphocytic leukemia who is receiving chemotherapy?
a. Platelet count
b. Reticulocyte count
c. Total lymphocyte count
d. Absolute neutrophil count
ANS: D
Filgrastim increases the neutrophil count and function in neutropenic patients. Although total lymphocyte, platelet, and reticulocyte counts also are important to monitor in this patient, the absolute neutrophil count is used to evaluate the effects of filgrastim.
You might also like to view...
The prescriber orders propranolol (Inderal) for a patient with a blood pressure reading of 200/106 . An electrocardiogram taken shortly afterward shows an atrioventricular (AV) block
The nurse should immediately hold the propranolol and report this finding to the prescriber for which rea-son? a. Lowering the blood pressure will require at least two different drugs. b. Beta blockers can intensify an AV block. c. Some reflex tachycardia may be associated with this agent. d. The drug may cause a cough, which might further disrupt the cardiac rhythm.
A client diagnosed with sickle-cell anemia is experiencing vaso-occlusive crisis. Which of the following interventions would be appropriate for this client? (Select all that apply.)
1. Administering oxygen 2. Decreasing hydration 3. Managing pain 4. Promoting activity 5. Encouraging rest 6. Restricting calories
A female client wants to know how long a sperm cell can survive in the female body so
that she can plan the necessary contraceptive measures in the future. Which fact should the nurse inform the client about? A) Sperm cells can survive indefinitely in the female body B) Sperm cells can survive anytime before ovulation C) Sperm cells survive for a week after intercourse D) Sperm cells survive up to 3 days after intercourse
A nurse is doing an assessment on a newborn. Which is characteristic of a newborn's vision at birth and an expected finding during the assessment?
a. Ciliary muscles are mature. b. Blink reflex is absent. c. Tear glands function. d. Pupils react to light.