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

Author Question: The nurse is preparing to give sargramostim to a patient who has acute myelogenous leukemia (AML). ... (Read 53 times)

ts19998

  • Hero Member
  • *****
  • Posts: 531
on: Jul 23, 2018
The nurse is preparing to give sargramostim to a patient who has acute myelogenous leukemia (AML). The nurse assesses a heart rate of 78 beats per minute and a blood pressure of 120/70 mm Hg.
 
  The patient reports shortness of breath and has a cough and bilateral crackles. What will the nurse do next?
  a. Contact the provider; discuss giving a lower dose.
  b. Contact the pharmacist; request a bronchodilator.
  c. Contact the pharmacist; request an order for furosemide.
  d. Contact the provider; suggest administration of antibiotics.

Question 2

A patient is receiving bone marrow transplantation for cancer and receives filgrastim (Neupogen). The patient reports abdominal pain in the left upper quadrant. The nurse will perform which action?
 
  a. Administer acetaminophen 650 mg.
  b. Administer an antiemetic medication.
  c. Report a potentially life-threatening event.
  d. Request an order for cardiac enzyme levels.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

stallen

  • Sr. Member
  • ****
  • Posts: 336
Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: A
Patients receiving this drug can experience sequestration of granulocytes in the pulmonary circulation and may experience dyspnea. The sargramostim infusion should be reduced in half if this occurs. Bronchospasm, pulmonary edema, and infection are not common side effects.

Answer to Question 2

ANS: C
Splenic rupture can occur with this drug and is manifested by pain in the left upper quadrant. The nurse should report the abdominal pain to the provider so the patient can be evaluated for splenic rupture.


ts19998

  • Member
  • Posts: 531
Reply 2 on: Jul 23, 2018
Gracias!

isabelt_18

  • Member
  • Posts: 342
Reply 3 on: Yesterday
Wow, this really help

« previous next »
 

Did you know?

Children with strabismus (crossed eyes) can be treated. They are not able to outgrow this condition on their own, but with help, it can be more easily corrected at a younger age. It is important for infants to have eye examinations as early as possible in their development and then another at age 2 years.

Did you know?

Historic treatments for rheumatoid arthritis have included gold salts, acupuncture, a diet consisting of apples or rhubarb, nutmeg, nettles, bee venom, bracelets made of copper, prayer, rest, tooth extractions, fasting, honey, vitamins, insulin, snow collected on Christmas, magnets, and electric convulsion therapy.

Did you know?

Approximately 25% of all reported medication errors result from some kind of name confusion.

Did you know?

Hippocrates noted that blood separates into four differently colored liquids when removed from the body and examined: a pure red liquid mixed with white liquid material with a yellow-colored froth at the top and a black substance that settles underneath; he named these the four humors (for blood, phlegm, yellow bile, and black bile).

Did you know?

The calories found in one piece of cherry cheesecake could light a 60-watt light bulb for 1.5 hours.

A hearing-impaired patient using an interpreter. A hearing-impaired patient using an interpreter.
Preparing a Smear Preparing a Smear
Preparing for Externship or Practicum Preparing for Externship or Practicum
Instructing a Patient to Use Crutches Correctly Instructing a Patient to Use Crutches Correctly
Examples of endocrine disorders. (C) A patient with congenital hypothyroidism. Examples of endocrine disorders. (C) A patient with congenital hypothyroidism.
Using the measuring device to give the correct dose to children Using the measuring device to give the correct dose to children
Video: What are Strong & Weak Acids and How they're different?

For a complete list of videos, visit our video library