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?

INR

Potassium level

WBC count

BUN

Answer and Explanation

The Correct Answer is C

A. INR (International Normalized Ratio): INR is a measure of blood clotting and is not directly affected by filgrastim, which stimulates the production of white blood cells. Monitoring INR is more relevant when assessing anticoagulant therapy.
B. Potassium level: Filgrastim does not directly influence potassium levels. Monitoring potassium is important for certain medications and conditions, but it is not the primary parameter to evaluate the effectiveness of filgrastim.
C. WBC count: Filgrastim (granulocyte colony-stimulating factor) is used to stimulate the production of white blood cells, specifically neutrophils. Monitoring the white blood cell count is crucial in evaluating the effectiveness of filgrastim treatment. An increase in the WBC count, particularly the neutrophil count, indicates a positive response to the medication.
D. BUN (Blood Urea Nitrogen): BUN is a measure of kidney function and is not directly influenced by filgrastim. While monitoring kidney function is important in general patient care, it is not the primary parameter to assess the effectiveness of filgrastim.

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Correct Answer is C

Explanation

A. Hypomagnesemia: While exercise can cause some magnesium loss through sweat, lithium is not specifically associated with magnesium imbalance. The primary concern in this scenario is related to sodium levels due to the impact of both exercise and lithium.
B. Hypokalemia: Exercise might also lead to potassium loss through sweat. However, potassium levels are not specifically affected by lithium in the same way as sodium levels. Hyponatremia is a more significant concern in this context.
C. Hyponatremia: Exercise-induced sodium loss compounded with lithium's potential to disrupt sodium balance increases the risk of hyponatremia. It's essential to monitor sodium levels in individuals on lithium who start new exercise programs.
D. Hypocalcemia: Exercise itself doesn't directly lead to significant calcium imbalances. Additionally, lithium is not associated with disturbances in calcium levels to the extent that it is with sodium levels.

A. Hydromorphone B. Aspirin C. Caldoler D. Meloxicam

Correct Answer is A

Explanation

A. Hydromorphone: This is a potent opioid analgesic and is commonly used for the management of severe pain, especially in cancer patients. It provides strong pain relief and is often used in situations where other pain medications are not sufficient.
B. Aspirin: Aspirin is a nonsteroidal anti-inflammatory drug (NSAID) with anti-inflammatory and analgesic properties. While it may be used for pain relief in some situations, it is not typically the first choice for severe pain in pancreatic cancer.
C. Acetaminophen (Caldoler): Acetaminophen is a non-opioid analgesic and antipyretic. It is not as potent as opioids and may not be sufficient for managing severe pain, especially in the context of advanced cancer.

D. Meloxicam: Meloxicam is a nonsteroidal anti-inflammatory drug (NSAID) and is not the first-line choice for severe pain, particularly in cancer patients. Opioid analgesics are generally preferred for managing severe pain in cancer.

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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

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