A nurse is reviewing the laboratory data of a hospitalized client. The nurse recognizes that the white blood cell (WBC) count is lower than expected. The nurse anticipates the prescriber to order which medication?
1. Epoetin alfa (Epogen)
2. Filgrastim (Neupogen)
3. Dalteparin (Fragmin)
4. Warfarin (Coumadin)
2
Rationale 1: Epoetin alfa (Epogen) stimulates the production of red blood cells.
Rationale 2: Filgrastim (Neupogen) stimulates the production of white blood cells.
Rationale 3: Dalteparin (Fragmin) is a low molecular weight heparin anticoagulant.
Rationale 4: Warfarin (Coumadin) is an anticoagulant.
Global Rationale: Filgrastim (Neupogen) assists in restoring white blood cell counts in a patient who has suppressed immune system. Filgrastim (Neupogen) stimulates the production of white blood cells.
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A client receiving prescribed magnesium sulfate shows signs of dyspnea, tachycardia, and increased respiratory rate and rales. The nurse notices frothy sputum. Which of the following conditions should the nurse suspect?
A) Pulmonary edema B) Water intoxication C) Renal failure D) Cardiac arrest
The nurse is caring for a client with lymphangitis of the right leg who is receiving treatment with a broad-spectrum antibiotic. The nurse is giving a bath and observes the right leg is larger than it was 2 hours ago and the client feels hot
What is the first action by the nurse? A) Place the leg below the level of the heart. B) Notify the physician. C) Place cool compresses on the extremity. D) Begin performing passive range of motion exercises.
Pharmacological interventions for the client with a pneumothorax would include which of the following? (Select all that apply.)
a. analgesia (either PCA or routinely scheduled medications) b. bronchodilators c. IV medications to provide vasoconstriction d. mucolytic agents e. antibiotic therapy f. antifungal medications
A patient diagnosed with depression begins selective serotonin reuptake inhibitor (SSRI) antidepressant therapy. The nurse should provide information to the patient and family about:
a. restricting sodium intake to 1 gram daily. b. minimizing exposure to bright sunlight. c. reporting increased suicidal thoughts. d. maintaining a tyramine-free diet.