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 A
Explanation
Diuretics decrease potassium reabsorption in the renal tubules leading to urinary loss. hypokalemia can lead to an apparent overdose of digoxin even if the dose is within the therapeutic range. taking a high ceiling diuretic leads to hypokalemia which worsens digoxin toxicity. It is essential to monitor potassium levels in clients taking digoxin to prevent complications.
B, C, D- These histories do not predispose to digoxin toxicity
Correct Answer is D
Explanation
The term PRN stands for when needed which does not state the specific circumstances under which the medication should be given. It is therfore, important to confirm tis to ensure safe administration of the medication
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