A child diagnosed with cancer is prescribed chemotherapy. The ...

[michelleunicorn]

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)

Question 2

A preschool child is seen in the clinic, and the nurse anticipates a diagnosis of leukemia. Which reaction does the nurse anticipate this child will exhibit upon diagnosis?
 
  1. Acceptance, especially if able to discuss the disease with children their own age
  2. Thoughts that they caused their illness and are being punished
  3. Understanding of what cancer is and how it is treated
  4. Unawareness of the illness and its severity

[elyse44]

Answer to Question 1

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.

Answer to Question 2

Correct Answer: 2
Rationale: Preschool-age children may think they caused their illness. Adolescents find contact with others who have gone through their experience helpful. School-age children can understand a diagnosis of cancer. Infants and toddlers are unaware of the severity of the disease.

[michelleunicorn]

Thanks for the timely response, appreciate it

[scottmt]

Excellent