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 81 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
Thanks for the timely response, appreciate it

Joy Chen

  • Member
  • Posts: 354
Reply 3 on: Yesterday
Wow, this really help

« previous next »
 

Did you know?

HIV testing reach is still limited. An estimated 40% of people with HIV (more than 14 million) remain undiagnosed and do not know their infection status.

Did you know?

Normal urine is sterile. It contains fluids, salts, and waste products. It is free of bacteria, viruses, and fungi.

Did you know?

Vampire bats have a natural anticoagulant in their saliva that permits continuous bleeding after they painlessly open a wound with their incisors. This capillary blood does not cause any significant blood loss to their victims.

Did you know?

Although puberty usually occurs in the early teenage years, the world's youngest parents were two Chinese children who had their first baby when they were 8 and 9 years of age.

Did you know?

Sperm cells are so tiny that 400 to 500 million (400,000,000–500,000,000) of them fit onto 1 tsp.

An Edmontosaurus bone that was excavated in Alaska and tested at Temple University. An Edmontosaurus bone that was excavated in Alaska and tested at Temple University.
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
Patient receiving ultrasound treatment to the left elbow. Patient receiving ultrasound treatment to the left elbow.
Prostate Cancer Cell Prostate Cancer Cell
A visually impaired patient is assisted by a service dog. A visually impaired patient is assisted by a service dog.
A patient examination room should be simple and efficiently designed. A patient examination room should be simple and efficiently designed.
Video: Peptide Bond Formation Animation

For a complete list of videos, visit our video library