The nurse is administering filgrastim (G-CSF) to a patient with colorectal cancer after finishing a cycle of chemotherapy.
Which SMART Outcome will this intervention help to achieve?

The patient will have one formed bowel movement by the end of the shift.

The patient's skin will be free of petechiae and purpura by discharge.

The patient will tolerate meals without reports of nausea by the end of the day.

The patient will be free from infection by discharge.

Answer and Explanation

The Correct Answer is D

Choice A rationale

Filgrastim (G-CSF) is used to stimulate the production of white blood cells to decrease the risk of infection. A formed bowel movement is unrelated to the specific outcomes of this medication.

Choice B rationale

While filgrastim can improve overall blood cell counts, its primary goal is to enhance neutrophil counts, rather than addressing skin petechiae or purpura, which may be related to platelet levels.

Choice C rationale

Filgrastim does not target gastrointestinal symptoms such as nausea. Instead, it is aimed at restoring neutrophil levels to reduce infection risk.

Choice D rationale

Filgrastim is specifically designed to increase neutrophil counts, thus helping the patient to be free from infections by discharge, which is a SMART goal.

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Correct Answer is C

Explanation

Choice A rationale

Dosimeter badges are used for monitoring radiation exposure, not for handling chemotherapy. They are worn by healthcare workers working in areas with ionizing radiation to track their cumulative exposure and ensure it stays within safe limits.

Choice B rationale

Lead aprons are also used to protect against radiation exposure, not chemotherapy. They shield the body from ionizing radiation but do not provide protection from the cytotoxic effects of chemotherapy agents.

Choice C rationale

Personal protective equipment (PPE), including gloves and gowns, is essential for safely handling chemotherapy drugs to prevent skin contact and inhalation of hazardous chemicals. This reduces the risk of exposure to these toxic agents, protecting both the nurse and the patient.

Choice D rationale

Chemotherapy waste should be disposed of in designated chemotherapy waste containers, not in standard sharps containers. These specialized containers ensure that hazardous waste is handled according to safety regulations, reducing the risk of environmental contamination and exposure.

A. I should consume less than 1 liter of fluid per day. B. I should use my treadmill or go for walks daily. C. I should follow a moderate-calcium, high fiber diet. D. My alendronate helps keep calcium from coming out of my bones.

Correct Answer is A

Explanation

Choice A rationale

Patients with hyperparathyroidism should maintain adequate hydration to help prevent kidney stones and other complications related to high calcium levels. Consuming less than 1 liter of fluid per day is insufficient and can lead to dehydration and increased calcium concentration in the blood, exacerbating the condition.

Choice B rationale

Regular physical activity, such as using a treadmill or walking, is beneficial for patients with hyperparathyroidism. Exercise helps to improve overall health, maintain bone density, and reduce the risk of complications associated with hypercalcemia.

Choice C rationale

A moderate-calcium, high-fiber diet is recommended for managing hyperparathyroidism. Adequate dietary fiber aids in digestion and helps prevent constipation, which is a common symptom of hypercalcemia. Moderating calcium intake is important to manage the condition.

Choice D rationale

Alendronate is a bisphosphonate medication that helps to prevent bone resorption and reduce calcium release into the bloodstream. It is an effective treatment for managing hyperparathyroidism and helps to maintain bone health. .

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The nurse is administering filgrastim (G-CSF) to a patient with colorectal cancer after finishing a cycle of chemotherapy.Which SMART Outcome will this intervention help to achieve?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse manager is orienting a new nurse to the oncology unit.What will the nurse manager teach about best practices for safe handling and administration of chemotherapy?

Correct Answer is C

Explanation

The nurse is teaching a patient with hyperparathyroidism how to manage the condition at home.Which response by the patient indicates the need for additional teaching?

Correct Answer is A

Explanation

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The nurse is administering filgrastim (G-CSF) to a patient with colorectal cancer after finishing a cycle of chemotherapy.Which SMART Outcome will this intervention help to achieve?

The nurse is administering filgrastim (G-CSF) to a patient with colorectal cancer after finishing a cycle of chemotherapy.
Which SMART Outcome will this intervention help to achieve?