A nurse is reviewing the laboratory data of a client who is receiving filgrastim. Which of the following laboratory values should the nurse monitor to evaluate the effectiveness of the treatment?

Potassium level

BUN

INR

WBC count

Answer and Explanation

The Correct Answer is D

Filgrastim is a medication that stimulates the production of white blood cells (WBCs), particularly neutrophils, which are a type of WBC important for fighting infections. An increase in the WBC count would indicate that filgrastim is effectively stimulating the production of WBCs, which is desirable, especially in clients who are at risk of neutropenia (low WBC count) due to chemotherapy or other factors.

Monitoring potassium levels is important for clients receiving certain medications or experiencing conditions that can affect potassium balance, but it is not specifically related to filgrastim therapy.

BUN is a measure of kidney function and hydration status, but it is not typically monitored to evaluate the effectiveness of filgrastim treatment.

INR is a measure of blood clotting and is primarily monitored in clients receiving anticoagulant therapy, such as warfarin. It is not relevant to filgrastim therapy.

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Correct Answer is C

Explanation

This indicates a reduction in the abdominal swelling caused by fluid accumulation, which is a common complication of cirrhosis. Spironolactone is a diuretic that helps remove excess fluid from the body. Spironolactone in liver cirrhosis is used to reduce fluid retention and hence decrease ascites

The other effects are not directly related to spironolactone use

A. A client experiences a seizure. B. A client vomits after receiving an oral medication. C. A client receives their insulin 1 hr before scheduled. D. A client receives their meal tray 20 min late.

Correct Answer is C

Explanation

Incident reports are documented for incidences that are likely to cause adverse outcomes for the clients or healthcare professionals and, therefore, their occurrence needs to be mitigated. In this case, wrong timing for medications such as insulin may lead to overdose with subsequent hypoglycemia which is detrimental

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A nurse is reviewing the laboratory data of a client who is receiving filgrastim. Which of the following laboratory values should the nurse monitor to evaluate the effectiveness of the treatment?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has cirrhosis of the liver and is receiving spironolactone. Which of the following findings indicates that the client is responding to the treatment?

Correct Answer is C

Explanation

A nurse is caring for a group of clients. Which of the following situations requires an incident report?

Correct Answer is C

Explanation

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A nurse is planning to administer a prefilled syringe of enoxaparin to a client. Which of the following actions should the nurse take?

A nurse is reviewing the laboratory data of a client who is receiving filgrastim. Which of the following laboratory values should the nurse monitor to evaluate the effectiveness of the treatment?

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