The physician has ordered filgrastim (Neupogen) intravenously for ...

[Jkov05]

The physician has ordered filgrastim (Neupogen) intravenously for the client. What is a priority plan by the nurse prior to administering this drug?
 
  1. Plan to monitor the client's ECG readings.
  2. Plan to insert a Foley catheter and monitor urine output.
  3. Plan to administer 10 oxygen during the infusion.
  4. Plan to have a white blood cell (WBC) count drawn every 30 minutes.

Question 2

The client complains of constipation while receiving ferrous sulfate (Feosol). What is the best plan by the nurse to assist the client in resolving this common side effect?
 
  1. Plan to teach the client about which laxatives are the safest to use.
  2. Plan to teach the client to increase fluids and high-fiber foods in the diet.
  3. Plan to teach the client to self-administer Fleets enemas.
  4. Plan to teach the client to increase exercise.

[Jmfn03]

Answer to Question 1

Correct Answer: 1
Rationale 1: Filgrastim (Neupogen) may cause abnormal ST-segment depression.
Rationale 2: There is no need to monitor urine output during the infusion.
Rationale 3: There is no need to administer oxygen during the infusion.
Rationale 4: There is no need to have a white blood cell (WBC) count drawn every 30 minutes.

Answer to Question 2

Correct Answer: 2
Rationale 1: The use of laxatives will make the bowel lazy and contribute to constipation.
Rationale 2: Constipation is a common side effect of ferrous sulfate; therefore, an increase in dietary fiber may be indicated.
Rationale 3: The use of Fleets enemas will make the bowel lazy and contribute to constipation.
Rationale 4: Increasing exercise will help relieve constipation, but is not as effective as other interventions.

[Jkov05]

Excellent

[mochi09]

TYSM