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Author Question: A prescriber has ordered filgrastim (granulocyte colonystimulating factor) for a patient undergoing ... (Read 63 times)

stephzh

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on: Jul 23, 2018
A prescriber has ordered filgrastim (granulocyte colonystimulating factor) for a patient undergoing myelosuppressive chemotherapy. The nurse will prepare the patient for which potential side effect?
 
  a. Bone pain
  b. Fatigue
  c. Headache
  d. Hemorrhage

Question 2

A nursing student asks a nurse why patients with chronic renal failure (CRF) have low erythrocyte counts. Which response by the nurse is correct?
 
  a. Damage to the renal tubules increases serum blood loss.
  b. Dialysis accelerates the breakdown of red blood cells.
  c. Erythropoietin is no longer produced by cells in the kidneys.
  d. Patients with CRF are deficient in iron, folic acid, and vitamin B12.


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iman

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Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: A
Filgrastim causes bone pain in about 25 of patients. The pain is dose related and usually mild to moderate. Fatigue, bleeding, and headache are not common side effects of filgrastim.

Answer to Question 2

ANS: C
Erythropoietin is normally produced by peritubular cells in the proximal tubules of the kidneys, but it is not produced in patients with CRF. Erythropoietin stimulates red blood cell (RBC) production; therefore, when it is absent, RBC production is compromised. Blood loss in damaged renal tubules does not cause low blood counts in patients with CRF. Dialysis does not contribute to low blood counts. Patients with CRF are not more likely to be deficient in iron, folic acid, and vitamin B12.


stephzh

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Reply 2 on: Jul 23, 2018
Wow, this really help

xiaomengxian

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Reply 3 on: Yesterday
Thanks for the timely response, appreciate it

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