A client with secondary polycythemia being seen in the clinic ...

[CBme]

A client with secondary polycythemia being seen in the clinic informs the nurse he will be taking a long flight overseas in the near future. The nurse should remind the client:
 
  1. That he should start taking an antibiotic 1 week before leaving.
  2. That he will need supplemental oxygen when at a higher altitude.
  3. To be sure to wear support stockings during the flight.
  4. To restrict intake of high-protein foods the day of the flight.

Question 2

A client with multiple myeloma has been started on filgrastim (Neupogen) for treatment of neutropenia. The nurse identifies the drug is being effective when:
 
  1. The client no longer has bone pain.
  2. The client is no longer hypotensive.
  3. An increase in the white blood cell count occurs.
  4. The hemoglobin level is within normal limits.

[cici]

Answer to Question 1

Answer: 3

1. Supplemental antibiotics are not needed.
2. Supplemental oxygen is not needed.
3. Support stockings would help to prevent blood stasis and possible thrombus when activity is restricted.
4. There is no indication for restriction of protein.

Answer to Question 2

Answer: 3

1. Bone pain is a side effect of Neupogen.
2. It does not affect the blood pressure.
3. Neupogen stimulates the growth and development of WBCs.
4. Neupogen does not affect red blood cells or hemoglobin.