This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A patient with cancer is receiving pegfilgrastim (Neulasta). The patient reports bone pain, which ... (Read 83 times)

crazycityslicker

  • Hero Member
  • *****
  • Posts: 537
on: Jul 23, 2018
A patient with cancer is receiving pegfilgrastim (Neulasta). The patient reports bone pain, which the nurse recognizes as
 
  a. a sign of cancer metastasis.
  b. an indication of expansion of bone marrow.
  c. caused by osteomyelitis.
  d. worsening neutropenia.

Question 2

A patient has been receiving an erythropoietin-stimulating agent (ESA) for 8 weeks. The nurse reviews the patient's chart and notes no increase in hemoglobin levels from 8 g/dL on week 3 of therapy. The nurse will request an order for
 
  a. a complete blood count and serum iron levels.
  b. an increased dose of the erythropoietin-stimulating agent.
  c. more frequent dosing of the ESA.
  d. packed red blood cell infusions.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

nathang24

  • Sr. Member
  • ****
  • Posts: 314
Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: B
Bone pain is common with these drugs and is caused by expansion of the bone marrow. It does not indicate metastasis. The bone pain is not due to osteomyelitis or neutropenia.

Answer to Question 2

ANS: A
If there is no response, ESAs should be discontinued after 8 weeks of therapy. If a patient does not respond, iron deficiency or underlying hematologic disease should be considered and evaluated.


crazycityslicker

  • Member
  • Posts: 537
Reply 2 on: Jul 23, 2018
YES! Correct, THANKS for helping me on my review

jordangronback

  • Member
  • Posts: 339
Reply 3 on: Yesterday
Great answer, keep it coming :)

« previous next »
 

Did you know?

There are actually 60 minerals, 16 vitamins, 12 essential amino acids, and three essential fatty acids that your body needs every day.

Did you know?

Always store hazardous household chemicals in their original containers out of reach of children. These include bleach, paint, strippers and products containing turpentine, garden chemicals, oven cleaners, fondue fuels, nail polish, and nail polish remover.

Did you know?

Calcitonin is a naturally occurring hormone. In women who are at least 5 years beyond menopause, it slows bone loss and increases spinal bone density.

Did you know?

All adults should have their cholesterol levels checked once every 5 years. During 2009–2010, 69.4% of Americans age 20 and older reported having their cholesterol checked within the last five years.

Did you know?

Immunoglobulin injections may give short-term protection against, or reduce severity of certain diseases. They help people who have an inherited problem making their own antibodies, or those who are having certain types of cancer treatments.

When working with the patient with impaired hearing, the interpreter needs to direct questions to th When working with the patient with impaired hearing, the interpreter needs to direct questions to th
Areas of referred pain; A, anterior view; B, posterior view. Areas of referred pain; A, anterior view; B, posterior view.
skin cancer skin cancer
Monoclonal Antibodies and Cancer Cells Monoclonal Antibodies and Cancer Cells
Denture sore mouth in a patient who never removed partial dentures at night. Denture sore mouth in a patient who never removed partial dentures at night.
Variations in patient response to drugs Variations in patient response to drugs
Video: Mechanisms of capillary exchange (transcytosis & bulk flow)

For a complete list of videos, visit our video library