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

Author Question: A patient with cancer is receiving pegfilgrastim (Neulasta). The patient reports bone pain, which ... (Read 55 times)

crazycityslicker

  • Hero Member
  • *****
  • Posts: 537
on: Jul 23, 2018
A patient with cancer is receiving pegfilgrastim (Neulasta). The patient reports bone pain, which the nurse recognizes as
 
  a. a sign of cancer metastasis.
  b. an indication of expansion of bone marrow.
  c. caused by osteomyelitis.
  d. worsening neutropenia.

Question 2

A patient has been receiving an erythropoietin-stimulating agent (ESA) for 8 weeks. The nurse reviews the patient's chart and notes no increase in hemoglobin levels from 8 g/dL on week 3 of therapy. The nurse will request an order for
 
  a. a complete blood count and serum iron levels.
  b. an increased dose of the erythropoietin-stimulating agent.
  c. more frequent dosing of the ESA.
  d. packed red blood cell infusions.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

nathang24

  • Sr. Member
  • ****
  • Posts: 314
Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: B
Bone pain is common with these drugs and is caused by expansion of the bone marrow. It does not indicate metastasis. The bone pain is not due to osteomyelitis or neutropenia.

Answer to Question 2

ANS: A
If there is no response, ESAs should be discontinued after 8 weeks of therapy. If a patient does not respond, iron deficiency or underlying hematologic disease should be considered and evaluated.


crazycityslicker

  • Member
  • Posts: 537
Reply 2 on: Jul 23, 2018
Great answer, keep it coming :)

dawsa925

  • Member
  • Posts: 326
Reply 3 on: Yesterday
Gracias!

« previous next »
 

Did you know?

Nitroglycerin is used to alleviate various heart-related conditions, and it is also the chief component of dynamite (but mixed in a solid clay base to stabilize it).

Did you know?

Hip fractures are the most serious consequences of osteoporosis. The incidence of hip fractures increases with each decade among patients in their 60s to patients in their 90s for both women and men of all populations. Men and women older than 80 years of age show the highest incidence of hip fractures.

Did you know?

The shortest mature adult human of whom there is independent evidence was Gul Mohammed in India. In 1990, he was measured in New Delhi and stood 22.5 inches tall.

Did you know?

Atropine was named after the Greek goddess Atropos, the oldest and ugliest of the three sisters known as the Fates, who controlled the destiny of men.

Did you know?

If all the neurons in the human body were lined up, they would stretch more than 600 miles.

In the communication technique of collaborating, the nurse sends the message that the nurse and pati In the communication technique of collaborating, the nurse sends the message that the nurse and pati
Comparison of breast cancer and fibrocystic disease. (A) Breast with a malignant tumor growing in th Comparison of breast cancer and fibrocystic disease. (A) Breast with a malignant tumor growing in th
Components of a long bone. The entire long bone is on the left side accompanied by a blowup of the p Components of a long bone. The entire long bone is on the left side accompanied by a blowup of the p
ossification of bone ossification of bone
Cancer Growth and Metastasis Cancer Growth and Metastasis
A patient examination room should be simple and efficiently designed. A patient examination room should be simple and efficiently designed.
Video: Stages of Mitosis - Prophase, Prometaphase, Metaphase, Anaphase & Telophase

For a complete list of videos, visit our video library