A client is to receive filgrastim (Neupogen) as a granulocyte-stimulating factor. The nurse recognizes that this medication should not be given when the client has:
a. severe myelosuppression.
b. a history of hypertension.
c. received cytotoxic agents less than 24 hours before.
d. a neutrophil count lower than 500.
Question 2
A client is taking G-CSF, or filgrastim (Neupogen). Which nursing interventions are indicated for the most common side effect of this medication?
a. Stool softeners and a high-fiber diet for constipation
b. High fluid intake and vitamin C for alkaline urine
c. Acetaminophen (Tylenol) and assessment for fever
d. Nonnarcotic analgesia and comfort measures for pain