Which laboratory test will the nurse use to determine whether filgrastim (Neupogen) is effective for a patient with acute lymphocytic leukemia who is receiving chemotherapy?
Reticulocyte count
White blood count / Absolute neutrophil count
Total lymphocyte count
Platelet count
The Correct Answer is B
A. Reticulocyte count: Reticulocyte count measures immature red blood cells and is not the primary measure for the effectiveness of filgrastim, which is used to boost white blood cells.
B. White blood count / Absolute neutrophil count: Filgrastim (Neupogen) is used to increase white blood cells, specifically neutrophils. Therefore, monitoring the white blood count (WBC) and absolute neutrophil count (ANC) is the appropriate way to determine the effectiveness of the drug.
C. Total lymphocyte count: While lymphocytes are a type of white blood cell, filgrastim primarily affects neutrophils, making WBC/ANC a better indicator.
D. Platelet count: Filgrastim does not directly impact platelet production, so platelet count is not the primary measure of its effectiveness.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Herpes simplex virus can cause genital herpes, but it typically does not lead to pelvic inflammatory disease. Pelvic inflammatory disease is more commonly associated with untreated chlamydia or gonorrhea infections.
B. Syphilis during pregnancy can lead to various complications such as stillbirth, neonatal death, or congenital syphilis in the newborn, but low birth weight is not a typical complication.
C. Human papillomavirus (HPV) infection is a known risk factor for the development of cervical cancer. Certain high-risk strains of HPV can lead to precancerous changes in cervical cells,
which, if left untreated, may progress to cervical cancer.
D. Meningitis is not a typical complication of chlamydia in males. In males, untreated chlamydia can lead to complications such as epididymitis or infertility.
Correct Answer is ["A","B","C"]
Explanation
A. "In some types, HPV will go away on its own and does not cause health issues.": This is
important information to include as it reassures individuals that not all HPV infections lead to health problems.
B. "Some forms of HPV can lead to cervical cancer.": It is crucial to educate young adults about the link between certain types of HPV and the development of cervical cancer.
C. "HPV is most commonly spread during vaginal or anal sexual contact.": Providing information about how HPV is transmitted helps individuals understand how to reduce their risk of infection.
D. "You cannot get HPV if you have had only 1 sex partner.": This statement is HPV can be transmitted through sexual contact, including with only one sexual partner.
E. "There are no vaccinations or treatments available against HPV and its symptoms.": This statement is There are vaccinations available to protect against certain types of HPV, and treatments are available for HPV-related health issues such as genital warts and cervical abnormalities.
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