The physician has ordered filgrastim (Neupogen) intravenously for the client. What is a priority plan by the nurse prior to administering this drug?
1. Plan to monitor the client's ECG readings.
2. Plan to insert a Foley catheter and monitor urine output.
3. Plan to administer 10% oxygen during the infusion.
4. Plan to have a white blood cell (WBC) count drawn every 30 minutes.
Correct Answer: 1
Rationale 1: Filgrastim (Neupogen) may cause abnormal ST-segment depression.
Rationale 2: There is no need to monitor urine output during the infusion.
Rationale 3: There is no need to administer oxygen during the infusion.
Rationale 4: There is no need to have a white blood cell (WBC) count drawn every 30 minutes.
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