A nurse recently administered filgrastim intravenously to a client who has ccer 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 nurse flushed the client's IV line with dextrose 5% in water before and after the medication was administered.

The client's absolute neutrophil count was 2.500/mm3 before the medication was administered.

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.

Answer and Explanation

The Correct Answer is D

A: Flushing an IV line with dextrose 5% in water before and after medication administration is a common practice to ensure that the medication is delivered properly and to prevent interactions in the IV line. This would not typically require an incident report.
B: An absolute neutrophil count of 2.500/mm3 is within the normal range for patients undergoing chemotherapy and would not typically necessitate an incident report.
C: Having chemotherapy 12 hours before the administration of filgrastim does not contraindicate its use and is within the appropriate time frame as filgrastim is often given after chemotherapy to help recover white blood cell counts.
D: According to the guidelines, filgrastim should be stored in the refrigerator and allowing it to sit at room temperature for 2 hours could compromise its effectiveness. This is a deviation from the medication's storage requirements and could potentially harm the patient, thus an incident report should be filed.

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Correct Answer is A,B,C,D

Explanation

Choice A rationale:

The first step is to remove the medication from the dispensing system. This ensures that the nurse has the right medication and dose for the client. The nurse should also check the label of the medication against the medication administration record (MAR) at this point. Choice B rationale:

The second step is to compare the client's wristband to the MAR. This verifies the client's identity and prevents medication errors. The nurse should use two identifiers, such as name and date of birth, to confirm the client's identity.

Choice C rationale:

The third step is to open the medication package. This prepares the medication for administration and prevents contamination. The nurse should also check the expiration date of the medication before opening it.

Choice D rationale:

The fourth step is to document administration of the medication. This completes the medication administration process and provides a record of the client's care. The nurse should document the medication name, dose, route, time, and any relevant observations or outcomes.

Correct Answer is ["7.5"]

Explanation

The correct answer is 7.5 ML

To answer this question, we need to use the formula:

mL to administer = (mEq ordered / mEq available) x mL available Plugging in the values from the question, we get:

mL to administer = (20 mEq/day / 6.7 mEq/5 mL) x 5 mL Simplifying, we get:

mL to administer = (2.99 mL/mEq) x 5 mL Multiplying, we get:

mL to administer = 14.95 mL/day

Since the order is to divide the dose equally every 12 hours, we need to divide the total daily dose by 2:

mL to administer per dose = 14.95 mL/day / 2 Dividing, we get:

mL to administer per dose = 7.475 mL

Rounding to the nearest tenth, we get:

mL to administer per dose = 7.5 mL

Therefore, the nurse should administer 7.5 mL of potassium chloride elixir per dose.

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A nurse recently administered filgrastim intravenously to a client who has ccer 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 preparing to administer digoxin orally to a client. Identify the sequence of steps the nurse should take. (Move the steps placing them in the order of performance. Use all the steps.)

Correct Answer is A,B,C,D

Explanation

A nurse is preparing to administer potassium chloride elixir 20 mEq/day PO to divide equally every 12 hr. Available is 6.7 mEq/5 mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["7.5"]

Explanation

The correct answer is 7.5 ML

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