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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Consulting a reference guide provides information on all potential interactions that may apply for the medication guide. It allows the nurse to give specific and accurate information regarding the drug at hand without generalization.
A- This does not apply to all medications
C-Asking a colleague may not be accurate
D- The clients records may not contain all the relevant information needed
Correct Answer is B
Explanation
Pinching the area of skin between two fingers facilitates the injection of the insulin into the subcutaneous tissue rather than muscle. Inject into the subcutaneous tissue prevents hematoma formation and bleeding after the injection.
A,C,D- Increase risk of bleeding
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