A nurse recently administered filgrastim intravenously to a client who has cancer and is receiving cytotoxic chemotherapy. For which of the following data, discovered after the medication was administered, should the nurse file an incident report?
The client's absolute neutrophil count was 2,500/mm3 before the medication was administered.
The medication vial sat at room temperature for 2 hr before it was administered.
The client had chemotherapy 12 hr before the medication was administered.
The nurse flushed the client's IV line with dextrose 5% in water before and after the medication was administered.
The Correct Answer is B
Choice A rationale: The client's initial neutrophil count might be within an acceptable range for filgrastim administration.
Choice B rationale: Filgrastim, a medication used to increase white blood cell count, should ideally be stored and administered as per manufacturer recommendations.
Allowing it to sit at room temperature for an extended period could affect its potency or efficacy, necessitating an incident report.
Choice C rationale: Having chemotherapy before filgrastim administration might not necessitate an incident report.
Choice D rationale: Flushing the IV line with dextrose solution is a routine practice and might not relate to the need for an incident report.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Tinnitus, or ringing in the ears, is not a common adverse effect of ergotamine, though it may occur with some other medications used for migraines. Ergotamine primarily affects the blood vessels and nervous system.
B. Paresthesias, which involve tingling, numbness, or a burning sensation, can occur as an adverse effect of ergotamine due to its vasoconstrictive properties. Clients should be informed to report any unusual sensations in their extremities.
C. Blurred vision is not typically associated with ergotamine use. It could be a sign of another underlying condition or side effect from other medications but is not directly related to ergotamine.
D. Hematuria, or blood in the urine, is not a known adverse effect of ergotamine. The medication's effects are mainly related to the vascular system, not the kidneys or urinary tract.
Correct Answer is D
Explanation
Choice A rationale: Prednisone use doesn't typically lead to hemolytic anemia.
Choice B rationale: Prednisone can actually elevate blood glucose levels.
Choice C rationale: While it's possible, liver toxicity isn't a common adverse effect of prednisone.
Choice D rationale: Long-term use of prednisone, a corticosteroid, can lead to bone loss (osteoporosis) due to its impact on calcium absorption and bone metabolism in older adults.
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