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.

Answer and Explanation

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.

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Correct Answer is A

Explanation

Choice A rationale: Morphine is a potent opioid commonly used to manage moderate to severe cancer-related pain due to its effectiveness in controlling pain intensity.

Choice B rationale: Acetaminophen might not be adequate for managing moderate cancer pain compared to opioids like morphine.

Choice C rationale: Ibuprofen, a nonsteroidal anti-inflammatory drug (NSAID), might not be sufficient for moderate to severe cancer-related pain.

Choice D rationale: Aspirin, another NSAID, might not provide adequate pain relief for moderate to severe cancer pain.

A. Avoid massaging the site after injection. B. Inject the medication into the abdomen. C. Administer the medication through clothing if necessary. D. Aspirate prior to administration of the medication.

Correct Answer is C

Explanation

Choice A rationale: It's fine to massage the site after epinephrine administration to help absorption.
Choice B rationale: The thigh is the recommended injection site for an epinephrine auto- injector.
Choice C rationale: During an emergency, if the person is unable to expose the injection site, it's acceptable to administer epinephrine through clothing to ensure timely delivery.
Choice D rationale: Aspiration is not recommended for epinephrine administration as it can delay treatment.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has cancer and reports moderate pain. Which of the following medications should the nurse expect to administer?

Correct Answer is A

Explanation

A nurse is teaching a client who has multiple allergies about using an epinephrine auto- injector. Which of the following instructions should the nurse include?

Correct Answer is C

Explanation

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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?

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