A child has cancer, and has been treated with chemotherapy. The latest lab value indicates the white blood cell count is very low. The nurse would expect to administer:

1. Filgrastim (Neupogen).
2. Ondansetron (Zofran).
3. Oprelvekin (Neumega).
4. Epoetin (human recombinant erythropoietin).


1
Rationale:
1. Filgrastim (Neupogen) increases production of neutrophils by the bone marrow.
2. Ondansetron (Zofran) is an antiemetic.
3. Oprelvekin (Neumega) increases platelets.
4. Epoetin (human recombinant erythropoietin) stimulates red blood cell production.

Nursing

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According to Maslow's hierarchy, if the nurse wants to be able to provide health education to a client, the nurse must address the client's:

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The preparations for an HIE include organizing a governing body and establishing financial sustainability. Which of the following is considered a conceptual and sustainable public governance model?

1. Public utility HIE with government oversight 2. Public utility HIE with no government oversight 3. Private sector-led HIE with local collaboration 4. Private sector-led HIE with corporation collaboration

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With which client should the nurse be most alert for the development of overhydration?

A. 65-year-old client who has diabetes mellitus and chronic hypertension B. 45-year-old client who self-medicates with sodium-containing antacids for indi-gestion C. 75-year-old client receiving blood replacement therapy with 3 units of packed red blood cells D. 80-year-old client 1 day postoperative from abdominal surgery who has an NG tube to continuous suction

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A client is diagnosed with narcolepsy. Which of the following is a characteristic of this disorder?

A) Waking during sleep B) Restless leg syndrome C) Uncontrollable desire to sleep D) Decrease in the amount or quality of sleep

Nursing