This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A patient with lung cancer receives filgrastim (Neupogen) after chemotherapy to reduce neutropenia. ... (Read 33 times)

jake

  • Hero Member
  • *****
  • Posts: 538
on: Jul 23, 2018
A patient with lung cancer receives filgrastim (Neupogen) after chemotherapy to reduce neutropenia. The patient reports a moderate degree of bone pain. What will the nurse do?
 
  a. Obtain an order to administer acetaminophen.
  b. Request an order for a complete blood count (CBC).
  c. Request an order to reduce the dose of filgrastim.
  d. Suspect metastasis of the cancer to the bone.

Question 2

A patient with CRF who will begin receiving an erythropoiesis stimulating agent (ESA) is admitted to the hospital.
 
  The nurse notes that the patient's heart rate is 82 beats per minute, and the blood pressure is 140/100 mm Hg. A complete blood count reveals a hemoglobin of 8 gm/dL and a hematocrit of 29. What will the nurse do?
  a. Administer the ESA and request an order for a blood transfusion.
  b. Withhold the ESA and request an order for an antihypertensive medication.
  c. Request an order to increase the dose of ESA to raise the hemoglobin more quickly.
  d. Suggest initiating dialysis while giving the ESA.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

jaygar71

  • Sr. Member
  • ****
  • Posts: 323
Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: A
Bone pain occurs in about 25 of patients receiving filgrastim. It can be treated with a nonopioid analgesic and, if necessary, an opioid analgesic. Leukocytosis can occur, but bone pain is not a symptom of this, so a CBC is not indicated. Bone pain is not an indication for reducing the dose of filgrastim. Because moderate bone pain is a common adverse effect, metastasis to the bone is less likely.

Answer to Question 2

ANS: B
In patients with CRF, treatment with epoetin alfa is often associated with an increase in blood pressure, so patients with hypertension should be treated before beginning treatment with epoetin alfa. There is no indication for a blood transfusion, an increased dose of ESA, or dialysis.


jake

  • Member
  • Posts: 538
Reply 2 on: Jul 23, 2018
YES! Correct, THANKS for helping me on my review

cassie_ragen

  • Member
  • Posts: 347
Reply 3 on: Yesterday
Excellent

« previous next »
 

Did you know?

The highest suicide rate in the United States is among people ages 65 years and older. Almost 15% of people in this age group commit suicide every year.

Did you know?

In the United States, an estimated 50 million unnecessary antibiotics are prescribed for viral respiratory infections.

Did you know?

On average, the stomach produces 2 L of hydrochloric acid per day.

Did you know?

Disorders that may affect pharmacodynamics include genetic mutations, malnutrition, thyrotoxicosis, myasthenia gravis, Parkinson's disease, and certain forms of insulin-resistant diabetes mellitus.

Did you know?

Walt Disney helped combat malaria by making an animated film in 1943 called The Winged Scourge. This short film starred the seven dwarfs and taught children that mosquitos transmit malaria, which is a very bad disease. It advocated the killing of mosquitos to stop the disease.

Position of lung lobes in relation to anatomical landmarks Position of lung lobes in relation to anatomical landmarks
Clay Lohmann, Black Lung. Clay Lohmann, Black Lung.
Digital recording devices can be helpful when providing patient education to visually impaired ... Digital recording devices can be helpful when providing patient education to visually impaired ...
Patient Education Follow-up Plan Patient Education Follow-up Plan
An open chamber MRI may be more comfortable for the patient, but images may not be as distinct. An open chamber MRI may be more comfortable for the patient, but images may not be as distinct.
Ex vivo and in vivo gene therapy for a patient with a liver disorder Ex vivo and in vivo gene therapy for a patient with a liver disorder
Video: Helper T cell receptors, activation, proliferation, differentiation & action

For a complete list of videos, visit our video library