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?
The vial was out of the refrigerator for 2 hr before the medication was administered
The client had a decreased neutrophil count before the medication was administered
The client reported feeling nauseous after the medication was administered.
The client had chemotherapy 12 hr before the medication was administered.
The Correct Answer is A
The vial was out of the refrigerator for 2 hr before the medication was administered. - Filgrastim should be stored in the refrigerator and should not be exposed to room temperature for extended periods. This deviation from proper storage warrants an incident report.
B) The client had a decreased neutrophil count before the medication was administered. - A decreased neutrophil count is an expected indication for filgrastim administration in clients receiving cytotoxic chemotherapy.
C) The client reported feeling nauseous after the medication was administered. -
Nausea is a common side effect of filgrastim and may not necessarily require an
incident report.
D) The client had chemotherapy 12 hr before the medication was administered. - This
timing is appropriate for administering filgrastim to stimulate neutrophil production
in response to chemotherapy-induced myelosuppression.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A) Temperature - While temperature monitoring is important, it is not the priority assessment immediately following administration of midazolam.
B) Heart rate - Heart rate monitoring is important but is not the priority assessment immediately following administration of midazolam.
C) Oxygen saturation - Oxygen saturation is the priority assessment following administration of midazolam for moderate sedation to ensure adequate ventilation and oxygenation.
D) Level of consciousness - While assessing the level of consciousness is important, oxygen saturation is the priority assessment to detect any respiratory depression or hypoxemia.
Correct Answer is D
Explanation
A) "Urinary frequency is a common adverse effect of this medication." - Urinary retention, not urinary frequency, is a common adverse effect of amitriptyline.
B) "This medication can cause diarrhea." - Constipation, not diarrhea, is a common adverse effect of amitriptyline.
C) "You might experience hair loss while taking this medication." - Hair loss is not a common adverse effect of amitriptyline.
D) "This medication can cause an increase in appetite." - Increased appetite and weight gain are common adverse effects of amitriptyline.
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