The nurse administers filgrastim to a bone marrow transplant ...

[rosent76]

The nurse administers filgrastim to a bone marrow transplant patient. Which laboratory parameter should be monitored to ascertain the drug's effectiveness?
 
  a. Hemoglobin
  b. Hematocrit
  c. Basophils
  d. Neutrophils

Question 2

A patient with a history of transient ischemic attacks (TIAs) is being treated with warfarin (Coumadin) and begins therapy with trimethoprim/sulfamethoxazole (Bactrim). Which of the following findings would most concern the nurse?
 
  a. Thrombophlebitis
  b. Increased bleeding
  c. Decreased effect of the antibiotic
  d. Decreased effect of warfarin

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Answer to Question 1

d

Answer to Question 2

B
TMP/SMZ can intensify the effects of warfarin, therefore increased bleeding should most con-cern the nurse.
Thrombocytopenia is a concern, but thrombophlebitis is not.
Although the nurse would not like to see a decreased effect of the antibiotic, bleeding would be a greater concern.
A decreased effect of warfarin would need to be rectified, but the main concern is bleeding, es-pecially in a patient with TIAs, who may fall and bleed even more.

[rosent76]

TY

[hugthug12]

You're welcome