A client is receiving high doses of methotrexate and is experiencing severe bone marrow suppression. The nurse expects which intervention to be ordered with this drug to reduce this problem?
Therapy with filgrastim
Leucovorin rescue
A transfusion of whole blood
Administration of allopurinol
The Correct Answer is B
B. methotrexate is a dihydrofolate reductase inhibitor which inhibits synthesis of building block for DNA synthesis and repair
A. Filgrastim is a growth factor used to boost neutrophil production
C. Transfusion-maybe necessary in the case of severe anemia
D. Allopurinol is an anti-uricemic agent used in gout
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C"]
Explanation
following the rights of medications administration prevents errors, the rights include right client, right dosage, right drug, right route and right time and frequency. The nurse must always verify the administration order to the prescription before drug administration. Wherever there is doubt, the provider should be consulted to avoid errors.
A- Minimizing telephone and verbal orders is not a proven principle of preventing medication errors
D- Use of trade names increases risk of errors
E-Allergy assessment is not related to medication errors
Correct Answer is C
Explanation
aminoglycosides and loop diuretics are ototoxic. This risk increases to an even higher level when the two drugs are used together. Therefore, their use together should be avoided.
Other drugs have no significant interactions with aminoglycosides
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