This topic contains a solution. Click here to go to the answer

Author Question: A client with preexisting bipolar disorder is receiving filgrastim (Neupogen) for the management of ... (Read 98 times)

renzo156

  • Hero Member
  • *****
  • Posts: 526
A client with preexisting bipolar disorder is receiving filgrastim (Neupogen) for the management of neutropenia following chemotherapy treatments for lymphocytic leukemia.
 
  The oncology nurse recognizes that which preparation for bipolar disorder could complicate the management of the client's leukemia?
  1. Clonazepam (Klonopin)
  2. Valproic acid (Depakene)
  3. Carbamazepine (Tegretol)
  4. Lithium carbonate

Question 2

A client is prescribed a dose of oprelvekin. Prior to administration of the drug, which nursing assessment should trigger a telephone call to the provider who wrote the order?
 
  1. Current platelet count of 25,000
  2. History of myelogenous leukemia
  3. History of alcohol abuse
  4. Current hemoglobin of 9.6 gm/dL



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

ilianabrrr

  • Sr. Member
  • ****
  • Posts: 332
Answer to Question 1

Correct Answer: 4
Rationale 1: Clonazepam does not interact with filgrastim.
Rationale 2: Valproic acid does not interact with filgrastim.
Rationale 3: Carbamazepine does not interact with filgrastim.
Rationale 4: Lithium has a synergistic effect when administered concomitantly with filgrastim.
Global Rationale: Lithium has a synergistic effect when administered concomitantly with filgrastim. Clonazepam, valporic acid, and carbamazepine do not interact with filgrastim.

Answer to Question 2

Correct Answer: 2
Rationale 1: A platelet count of 25,000 is low, and the order is appropriate.
Rationale 2: Myelogenous leukemia is a contraindication for oprelvekin therapy.
Rationale 3: Liver disease calls for caution during the administration of oprelvekin, but it is not a contraindication. The order is appropriate.
Rationale 4: A hemoglobin of 9.6 gm/dL is too low and is not a contraindication for oprelvekin. The order is appropriate.
Global Rationale: Myelogenous leukemia is a contraindication for oprelvekin therapy. A platelet count of 25,000 is low, and the order is appropriate. Liver disease calls for caution during the administration of oprelvekin, but it is not a contraindication. The order is appropriate. A hemoglobin of 9.6 gm/dL is too low and is not a contraindication for oprelvekin. The order is appropriate.




renzo156

  • Member
  • Posts: 526
Reply 2 on: Jul 23, 2018
Excellent


Jsherida

  • Member
  • Posts: 314
Reply 3 on: Yesterday
Gracias!

 

Did you know?

Multiple experimental evidences have confirmed that at the molecular level, cancer is caused by lesions in cellular DNA.

Did you know?

In 2006, a generic antinausea drug named ondansetron was approved. It is used to stop nausea and vomiting associated with surgery, chemotherapy, and radiation therapy.

Did you know?

The ratio of hydrogen atoms to oxygen in water (H2O) is 2:1.

Did you know?

The cure for trichomoniasis is easy as long as the patient does not drink alcoholic beverages for 24 hours. Just a single dose of medication is needed to rid the body of the disease. However, without proper precautions, an individual may contract the disease repeatedly. In fact, most people develop trichomoniasis again within three months of their last treatment.

Did you know?

To prove that stomach ulcers were caused by bacteria and not by stress, a researcher consumed an entire laboratory beaker full of bacterial culture. After this, he did indeed develop stomach ulcers, and won the Nobel Prize for his discovery.

For a complete list of videos, visit our video library