A nurse is reviewing the medical record of a client who just received a dose of IV filgrastim. The client has cancer and is receiving cytotoxic chemotherapy. For which of
the following findings should the nurse complete an incident report?

A) "You should report monthly to have your blood drawn to monitor kidney function while taking medication." - While monitoring kidney function may be necessary

during tuberculosis treatment, monthly blood draws specifically for this purpose are not typically required.

B) "You will need to take two or more medications to treat your disease." - Combination therapy with multiple medications is the standard treatment for active pulmonary tuberculosis to prevent drug resistance.

C) "You should anticipate taking medication to treat your disease for at least the next 3 years." - The duration of tuberculosis treatment varies but is typically shorter than 3 years for active pulmonary tuberculosis.

D) "You will need to undergo tuberculin skin tests every 6 months while taking medication for your disease." - Tuberculin skin tests are used for diagnosing tuberculosis, not for monitoring treatment progress.

A. Monitor the client for dysrhythmias- The significant decrease in potassium levels (hypokalemia) can predispose the client to cardiac dysrhythmias, so monitoring for any signs or symptoms of dysrhythmias is essential.
B. Advise the client to restrict potassium intake- With potassium levels already low (hypokalemia), restricting potassium intake further could exacerbate the deficiency. Instead, the client may need to increase their potassium intake through dietary changes or supplementation under healthcare provider guidance.
C. Advise the client to take the medication before bedtime- There's no medication mentioned in the scenario that requires a specific timing like before bedtime.
D. Check the client for orthostatic hypotension- The client reports dizziness and light- headedness upon standing, which are indicative of orthostatic hypotension. Checking for orthostatic hypotension involves measuring blood pressure and heart rate in different positions (lying, sitting, and standing) to assess for postural changes.
E. Advise the client to change positions slowly- Given the client's symptoms of dizziness and light-headedness upon standing, advising them to change positions slowly can help prevent falls or injuries associated with orthostatic hypotension.