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 had chemotherapy 12 hr before the medication was administered.
The medication vial sat at room temperature for 2 hr before it was administered.
The client's absolute neutrophil count was 2,500/mm³ 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 A
Choice A rationale: Administering filgrastim after chemotherapy is a standard practice to boost white blood cell count. However, filgrastim should not be given within 24 hours before or after chemotherapy, as it can affect the efficacy and increase the risk of side effects. Administering the medication 12 hours after chemotherapy falls within this contraindicated window, necessitating an incident report.
Choice B rationale: Filgrastim can be stored at room temperature for short periods, and 2 hours is generally within acceptable limits for stability.
Choice C rationale: An absolute neutrophil count of 2,500/mm³ is within the normal range, and there is no contraindication for administering filgrastim.
Choice D rationale: Flushing the client's IV line with dextrose 5% in water before and after administering filgrastim is not appropriate, as this medication is typically administered with saline solution. Using an incorrect flushing solution could affect the medication's efficacy or compatibility, necessitating an incident report.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The nurse should instruct the client to monitor and report bruising as an adverse effect of taking clopidogrel.
Clopidogrel increases the risk of bleeding, which can be severe or life- threatening.
Choice A is wrong because blurred vision is not a common adverse effect of clopidogrel.
Choice B is wrong because constipation is not a common adverse effect of clopidogrel.
Choice C is wrong because weight loss is not a common adverse effect of clopidogrel.
Correct Answer is B
Explanation
Step 1: Convert weight from lb to kg.
88 lb ÷ 2.2 = 40 kg
Step 2: Calculate total daily dose in mg.
150 mg/kg × 40 kg = 6000 mg
Step 3: Calculate dose per administration (every 6 hr).
6000 mg ÷ 4 = 1500 mg
Step 4: Calculate number of tablets per dose.
1500 mg ÷ 500 mg/tab = 3 tablets
Answer:
3 tablets per dose.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today