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 75 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
YES! Correct, THANKS for helping me on my review

emsimon14

  • Member
  • Posts: 344
Reply 3 on: Yesterday
:D TYSM

« previous next »
 

Did you know?

Signs of depression include feeling sad most of the time for 2 weeks or longer; loss of interest in things normally enjoyed; lack of energy; sleep and appetite disturbances; weight changes; feelings of hopelessness, helplessness, or worthlessness; an inability to make decisions; and thoughts of death and suicide.

Did you know?

All adverse reactions are commonly charted in red ink in the patient's record and usually are noted on the front of the chart. Failure to follow correct documentation procedures may result in malpractice lawsuits.

Did you know?

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

Did you know?

All adults should have their cholesterol levels checked once every 5 years. During 2009–2010, 69.4% of Americans age 20 and older reported having their cholesterol checked within the last five years.

Did you know?

Despite claims by manufacturers, the supplement known as Ginkgo biloba was shown in a study of more than 3,000 participants to be ineffective in reducing development of dementia and Alzheimer’s disease in older people.

Neural pathways for pain Neural pathways for pain
Caring for a patient on isolation precautions cont'd Caring for a patient on isolation precautions cont'd
Stereotaxic Surgery on a Human Patient Stereotaxic Surgery on a Human Patient
Patient Teaching Methods Cont. Patient Teaching Methods Cont.
Sites of referred pain Sites of referred pain
Video: The Lac Operon in E. Coli

For a complete list of videos, visit our video library