The health care provider has ordered epoetin alfa 50 units/kg ...

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The health care provider has ordered epoetin alfa 50 units/kg subq three times weekly. Today the client weighs 143 pounds. The nurse should administer _______ units of epoetin.
 
  Standard Text: Record your answer rounded to the nearest whole number.
  Fill in the blank with the appropriate word.

Question 2

A nurse who works in an outpatient chemotherapy unit has received an order to administer filgrastim (Neupogen) to a client who received chemotherapy this morning.
 
  The client's white blood cell count is dropping rapidly. The nurse asks the client to return to the unit tomorrow for the filgrastim. What is the rationale for the nurse's request?
  1. If given today, the increase in the white blood cell count will occur too rapidly.
  2. The actions of the filgrastim and chemotherapy drugs will oppose each other.
  3. If the filgrastim is given today, the risk of liver damage will increase.
  4. There is an increased risk of adverse reaction to both drugs.

[jharrington11]

Answer to Question 1

Correct Answer: 3,250
Rationale: The nurse divides the client's weight in pounds (143) by 2.2 (2.2lbs/kg) to determine that the client weighs 65 kg. That figure is multiplied by 50 units to achieve a dose of 3,250 units.
Global Rationale: The nurse divides the client's weight in pounds (143) by 2.2 (2.2lbs/kg) to determine that the client weighs 65 kg. That figure is multiplied by 50 units to achieve a dose of 3,250 units.

Answer to Question 2

Correct Answer: 2
Rationale 1: The white cell count will not increase rapidly, and it might not increase at all.
Rationale 2: Because antineoplastic drugs and CSFs produce opposite effects, filgrastim is not administered until at least 24 hours after a chemotherapy session.
Rationale 3: There is no increase in the risk of liver damage if these two drugs are given closely together.
Rationale 4: Both drugs have adverse reactions, but they do not potentiate each other.
Global Rationale: Because antineoplastic drugs and CSFs produce opposite effects, filgrastim is not administered until at least 24 hours after a chemotherapy session. The white cell count will not increase rapidly, and it might not increase at all. There is no increase in the risk of liver damage if these two drugs are given closely together. Both drugs have adverse reactions, but they do not potentiate each other.

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TY

[jharrington11]

You're welcome