A child diagnosed with cancer is prescribed chemotherapy. The latest lab value indicates the white-blood-cell count is very low. Which medication order does the nurse anticipate?
1. Filgrastim (Neupogen)
2. Ondansetron (Zofran)
3. Oprelvekin (Neumega)
4. Epoetin alfa (human recombinant erythropoietin)
Correct Answer: 1
Rationale: Filgrastim (Neupogen) increases production of neutrophils by the bone marrow. Ondansetron (Zofran) is an antiemetic, oprelvekin (Neumega) increases platelets, and epoetin alfa (human recombinant erythropoietin) stimulates red-blood-cell (RBC) production.
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