The client is receiving chemotherapy for cancer. The physician ...

[09madisonrousseau09]

The client is receiving chemotherapy for cancer. The physician has prescribed oprelvekin (Neumega). The nurse has completed medication education and evaluates it as effective when the client makes which statement?
 
  1. This medication will help my chemotherapy work better.
  2. This medication will help increase my platelet count.
  3. This medication will help me regain the weight I have lost.
  4. This medication will help increase my red blood cell count.

Question 2

The client calls the nurse and is very frantic. I think something is wrong My stools are black and they have never been this color before The client is receiving ferrous sulfate (Feosol). What is the best response by the nurse?
 
  1. This is an expected side effect of ferrous sulfate (Feosol); it is okay.
  2. This sounds serious; you may have started bleeding again.
  3. Do you have hemorrhoids? That could be the problem.
  4. I will speak with your doctor and call you right back.

[anoriega3]

Answer to Question 1

Correct Answer: 2
Rationale 1: Oprelvekin (Neumega) does not enhance the effectiveness of chemotherapy.
Rationale 2: Oprelvekin (Neumega) is used to stimulate the production of platelets in clients who are at risk for thrombocytopenia caused by cancer chemotherapy.
Rationale 3: Oprelvekin (Neumega) does not promote weight gain.
Rationale 4: Oprelvekin (Neumega) does not increase red blood cell count.

Answer to Question 2

Correct Answer: 1
Rationale 1: Ferrous sulfate (Feosol) will turn stools a harmless, dark green or black color; this is an expected side effect of the medication.
Rationale 2: To tell a client that this sounds serious is non-therapeutic, as the nurse should know that black stools are an expected side effect of the drug.
Rationale 3: Hemorrhoids are unlikely the problem, they would cause bright red color in the stool.
Rationale 4: There is no need to call the physician; this is an expected side effect of the drug.

[09madisonrousseau09]

TY

[anoriega3]

You're welcome