Which laboratory test will the nurse use to determine whether ...

[09madisonrousseau09]

Which laboratory test will the nurse use to determine whether filgrastim (Neupogen) is effective for a patient with acute lymphocytic leukemia who is receiving chemotherapy?
 
  a. Platelet count
  b. Reticulocyte count
  c. Total lymphocyte count
  d. Absolute neutrophil count

Question 2

Which action will the admitting nurse include in the care plan for a 30-year old woman who is neutropenic?
 
  a. Avoid any injections.
  b. Check temperature every 4 hours.
  c. Omit fruits or vegetables from the diet.
  d. Place a No Visitors sign on the door.

[cuttiesgirl16]

Answer to Question 1

ANS: D
Filgrastim increases the neutrophil count and function in neutropenic patients. Although total lymphocyte, platelet, and reticulocyte counts also are important to monitor in this patient, the absolute neutrophil count is used to evaluate the effects of filgrastim.

Answer to Question 2

ANS: B
The earliest sign of infection in a neutropenic patient is an elevation in temperature. Although unpeeled fresh fruits and vegetables should be avoided, fruits and vegetables that are peeled or cooked are acceptable. Injections may be required for administration of medications such as filgrastim (Neupogen). The number of visitors may be limited and visitors with communicable diseases should be avoided, but a no visitors policy is not needed.