a nurse is caring for a client who is receiving filgrastim. PHARM ATI A nurse is providing teaching to a client who has a new prescription for warfarin about potential interactions with over-the-counter products. 2 - The client is going to be blind as a result of an injury. "Potassium chloride 30 mEq in 0% sodium chloride 100 mL IV over 30 min. When this medication is administered to a client, nursing. During an inspection of the site, the nurse notes redness and swelling and that the rate of infusion of the medication has slowed. Pegfilgtastim administered instead of filgrastim. PHARMACOLOGY PROCTOR EXAM PHARMACOLOGY PROCTOR EXAM 1. More NCLEX review questions. The provider’s prescription reads. You may report side effects to FDA at 1-800-FDA-1088. Which of the following actions should the nurse take first?. PHARMACOLOGY ATI PROCTOR EXAM complete questions 70/70 graded exam 2021 1. A nurse is reinforcing teaching with a client who has postmenopausal osteoporosis. On assessment, the nurse notes that the client has flat neck veins, generalized muscle weakness, and diminished deep tendon reflexes. Your email address will not be published. A nurse is caring for a client who is receiving intravenous therapy and observes redness and inflammation along the vein. You are assigned to care for david ramsey, a 22-year old male patient with back injury secondary to being thrown from a motorcycle. But often it is an uncanny yet well honed knack to see beyond the obvious and address,. Before the client can obtain a refill, the nurse should advise the client that which of the following tests will be required: A nurse is caring for a client receiving heparin IV at 1,000 units/hr. which of the following laboratory values should the nurse monitor to evaluate the. Total white blood cell count is 9000/mm3. carcinoma who is receiving tamoxifen citrate (Nolvadex) 10 mg orally. Prototype: filgrastim (Neupogen). Required fields are marked * Comment. A nurse is caring for a client with acute congestive heart failure who is receiving high doses of a diuretic. ATI Capstone Pharmacology (Latest 2021) | Qwivy. NR 446 RN ATI Capstone Pharm Content Review 1. Neutropenia can also be caused by solid tumor malignancies, if they infiltrate the bone marrow, or by certain lymphoproliferative malignancies, such as natural killer cell lymphomas (large granular lymphocytic leukemia), hairy cell leukemia, and chronic lymphocytic leukemia (CLL). The client verbalizes sides effects that require reporting. Perhaps one of the most challenging circumstances with which counselors aid clients is a terminal illness diagnosis coupled with the process of receiving end-of-life care. Monitor the client’s pulse oximetry. The nurse should identify which of the following findings as a manifestation of fluid volume excess? a. Report these signs to the physician or nursing staff immediately. The majority of cancer patients develop neutropenia, most often due to chemotherapy. The nurse caring for a client with acute renal fluid (ARF) has noted that the client has voided 800 ml of urine in 4 hours. A nurse is caring for a client with a diagnosis of metastatic breast carcinoma who is receiving tamoxifen citrate (Nolvadex) 10 mg orally twice daily. A nurse is caring for a client who is in shock and is receiving an infusion of albumin. Which of the following laboratory values indicates that the treatment has been effective: A client who has hypothyroidism and is breastfeeding tells the nurse that she is taking levothyroxine (Synthroid) and is concerned that it will be excreted in her breast milk. how many ml should the nurse plan to . The nurse recognizes that this medication should not be given when the client has: asked Oct 24, 2016 in Nursing by Hogwarts. A nurse is caring for a client with a diagnosis of metastatic breast. In evaluating the clients response to filgrastim, the nurse should review the?. Which medication should the nurse administer first? The client receiving a calcium channel blocker who drank a full glass of water. It Is Important For The Nurse To Consider Which Of The Following For The Client? WBC 1,400/mm3 RBC 4. of the following medications should the nurse prepare to administer? A. For the Patient: Hair Loss Due to Chemotherapy. When planning care for a patient who is receiving filgrastim (Neupogen) for a nonmyeloid malignancy, the nurse should formulate which of the following patient outcomes? (Select all that apply. This quiz aims to help nursing students review concepts of nursing pharmacology and provide an alternative to Quizlet or ATI. Rationale: Creams or lotions take longer to produce their effect; therefore, they are usually left on the body for about 8-12 hours before rinsing. ? Vile sat out for 2 hours at room temperature before administration. Your primary nursing team will care for you during your hospital stay. A nurse is caring for a client who has diabetes mellitus and is taking pioglitazone. The client is receiving ferrous sulfate (Feosol) for the treatment of anemia. Which of the following interventions should the nurse take while caring for this client? Select one: a. We can take care of your urgent order in less than 5 hours. When nursing shifts change, your nurse will share the information about what happened with you and your care during that shift with the nurse taking over. The client has previously undergone a right oophorectomy and received chemotherapy. Hair loss is rare with filgrastim. 19) A nurse is caring for a pt who is receiving Filgrastim. Patients with severe chronic neutropenia: pain, decreased red blood cells, nose bleed, diarrhea, reduced sensation, and hair loss. The nurse is caring for clients diagnosed with acquired immunodeficiency syndrome AIDS. A nurse is caring for a male client who has acute pancreatitis Which of the following findings should be of greatest concern to the nurse? a. The nurse suspects hyponatremia. Which of the following findings should nurse identify as a pos. Helping a Client Receiving End-of-life Care. Administer IM in a large muscle mass to prevent injury. Rationale: Ataxia, weakness, restlessness, dizziness, or other motor problems can occur with lorazepam. responsibilities include monitoring renal function laboratory results, intake. A nurse is reinforcing teaching with a client about compromised host precautions. For which of the following data, discovered after the medication was administered, should the nurse file an incident report. The nurse encourage patient to continue Iron therapy as long as is prescribed. The home care nurse is making a monthly visit to a client with a diagnosis of pernicious anemia who has been receiving a monthly injection of cyanocobalamin (vitamin B12). Call your healthcare provider for medical advice about side effects. The nurse evaluates that learning has occurred when the client makes which statement? 1. Which of the following places the client at risk for aspiration? a. Non-medical Aspects The fact that the patient is the most important person in a medical care system must be recognised by all those who work in the system. the nurse instruct the client to avoid which of the following foods? smoked salmon a nurse is reviewing the laboratory data of a client who is receiving filgrastim. B) Sudden occurrence of sleepiness and drowsiness. Prepare to administer protamine sulfate 2. 6,13,22,24 Patient education at discharge is essential and may be inadequate for these patients as they try to obtain the necessary supplies for care. Which of the following drugs should the nurse have available in the event of a severe adverse reaction? Aminocaproic acid - is a coagulator, inhibits fibrinogen and stops excessive fibrinolytic bleeding, a severe adverse effect of alteplase. This study was carried out among a sample of 40 patients receiving home health care for a period of 1 to 19 weeks. The nurse is caring for a patient receiving warfarin (Coumadin) for prevention of deep vein thrombosis who has an International Normalized Ratio (INR) value of 1. The nurse is caring for a client with a peripheral IV. The oncology nurse is caring for a group of clients receiving chemotherapy. The patient has not seen a health care provider for 20 years. The nurse should administer: 1. The nurse is caring for a client with chronic myeloid leukemia (CML) who is taking imatinib mesylate. for which of the following data, discovered after the medication was administered, should the nurse consider filling an incident report? a. Nursing in-home care involves many steps. If it occurs withhold filgrastim until symptoms resolve. The nurse should tell the client to monitor and report abdominal pain or fullness. Upon analysis, the nurse determines that the client is an affective learner. The nurse knows that accidental exposure to chemotherapy agents can occur through: inhalation of aerosols. The plan of care includes a soft diet, modified postural drainage, and nebulizer treatments. The nurse is preparing a plan of care for a client receiving the glucocorticoid methylprednisolone. Ferrous sulfate is the mainstay treatment for treating patients with iron deficiency anemia. Keep taking this drug as you have been told by your doctor or other health care provider, even if you feel well. Nurses' Notes Vital Signs Nurses' Notes Initiated first unit of blood. The patient has the right to a fair, fast, and objective review of any complaint that they have against the health plan, doctors, hospitals, or other healthcare personnel, including complaints about wait times, operating hours, the conduct of healthcare personnel, and the adequacy of health care facilities. The client states I feel so nauseated after my treatments. A nurse is caring for a client who has paraplegia as a result of a spinal cord injury. Which of the following actions should the nurse take to assess . Prepare to administer Vitamin K 4. Which finding alerts the nurse to the possibility of sepsis? a. The nurse reviews the serum laboratory results of assigned clients. Answers: 1 on a question: Anurse recently administered filgrastim intravenously to a client who has cancer and is receiving cytotoxic chemotherapy. An important nursing consideration in caring for a. Omit the daily dose of prednisone 2. Elevated blood pressure (HYPOTENSION and DYSRHYTHMIAS) d. The client receives filgrastim (Neupogen). Immunomodulators, as the name implies, are drugs that modify the actions of the immune system. A nurse is preparing to administer filgrastim for the first time to. A nurse is caring for a client who has a new prescription for raloxifene. D A 72-year-old patient with a history of cancer. In evaluating the client's response to filgrastim, the nurse should review the: Neutrophil count. the laboratory data of a client who is receiving filgrastim. Scribd is the world's largest social reading and publishing site. Then the nurse is caring for clients on the telemetry unit. What instructions should the nurse include? • The nurse should instruct the client that a transdermal patch can be applied to any hairless part of the body, but to avoid distal extremities or areas with cuts and callouses. Place the client in high-Fowler's position. A neutropenic client is receiving filgrastim. Receiving a high osmolarity formula c. After 30 min of blood infusing client reports chills along with headache. Nursing topics include medication administration, dosage calculations, general concepts about nursing pharmacology, cardiovascular drugs, antibiotics and anti-infectives, neurological medications, psychiatric medications, drugs for the. When performing a neurologic assessment on a client, the nurse finds that the client's pupils are fixed and dilated. When this medication is administered to a client, nursing responsibilities include monitoring renal function laboratory results, intake and output, and hearing acuity. Filgrastim (Neupogen)function: stimulates maturation & release of only segmented neutrophils. A nurse caring for a client who has just received chemotherapy infusion is wearing a disposable gown, gloves, and goggles for protection. Immunostimulants or immune stimulants are drugs that energize the immune system when it is exhausted from fighting prolonged invasion or when the immune system needs help fighting a specific pathogen or cancer cell. What instructions should the nurse include? Sit upright for at least 30 mins after taking the medication. priority nursing diagnosis for the client receiving interleukin-2 (IL-2. The physician orders Filgrastim (Neupogen) 5mcg/kg per day by injection for a client who weighs 132 pounds. The nurse should instruct the nursing assistant who is caring for a client who is receiving anti-hypertensive medication to. The nurse should monitor for an increase in which of the following types of cells to determine the effectiveness of the medication? a. Place the medications on the back of the client’s tongue. Which action by the nurse is most appropriate? 1. What teaching points should the nurse provide the client and the caregiver regarding home oxygen safety? Oxygen can cause things to combust easily and burn fast so the client and family must be taught information regarding home oxygen safety. Which of the following measures should the nurse include in the client's plan of care? Categories Uncategorized. Auscultate for crackling in the bases of the lungs. Client/caregivers will verbalize reduction of fatigue, as evidenced by reports of increased energy and ability to perform desired activities. A nurse is caring for a client taking filgrastim (Neupogen)and is reviewing the client's morning complete blood count (CBC) and differential. Walden NURS 6521 Midterm and Final Exam Questions And Answers. Encourage the client to use the PCA before dressing changes. A nurse is caring for a client who is about to begin alteplase therapy to treat pulmonary embolism. Your health care team will use your ANC to get an idea of how well your . For clients receiving chemotherapy, the risk of infection is minimized. Remove from refrigerator 30 minutes before injection. A nurse is reviewing the white blood cell count with differential for a client receiving chemotherapy for cancer. The vial label reads Neupogen 300mcg/ml. Singh has been prescribed filgrastim (Neupogen). A nurse is caring for a client who is receiving total. Which of the following laboratory values indicates that the treatment has been effective: 1) Hgb 15 g/dL. Test pharmacology – proctored review. Nursing care comes in many forms. Client with a malignancy prescribed filgrastim has neutropenia. ) A) The patient will not develop an infection. The most common side effects experienced in patients receiving NEUPOGEN include: Patients with cancer receiving chemotherapy: fever, pain, rash, cough, and shortness of breath. The nurse is caring for a client who is receiving chemotherapy for cancer. The nurse expects to perform which action concerning this drug on the day prior to the client's chemotherapy treatment? Hold the medication. A nurse is caring for a client who is receiving heparin therapy via continuous IV infusion to treat a pulmonary embolism. ) A nurse is caring for a client who has hyponatremia and is receiving an infusion of a. The nurse is caring for a client who is receiving epoetin alfa. Sitting in a high-Fowler's position during the feeding d. The client is receiving filgrastim before each chemotherapy dose. Consume foods that are served cold d. Avoid large crowds and persons with infections 3. Prior to administering the next dose of the medication the nurse notes that the client’s absolute neutrophil count is 11,000/mm3. david complains of severe back pain with numbness and tingling in the lower extremities. Which of the following findings should the nurse identify as a manifestation of hypercalcemia? a. Other: pegfilgrastim (Neulasta) A nurse is monitoring a client who is receiving epoetin alfa (Epogen) for adverse effects. ” which of the following reasons should the nurse clarify this prescription with the provider. Which topics will the nurse plan to include in patient teaching about cancer screening and. Store and use the oxygen equipment as the manufacturer’s recommends. A client is prescribed amitriptyline (Elavil). A nurse is caring for a hospitalized client who is receiving IV heparin for a deep‐vein. Granulocytes- neutrophils, eosinophils, basophils,. ATI Pharmacology Proctor 2019 1. The patient reports abdominal pain in the left upper quadrant. The client demonstrates an understanding of the drug's action by accurately describing drug side effects and precautions. Which of the following adverse effects of this medication should the. A nurse is caring for a client receiving filgrastim (Neupogen) for neutropenia. The nurse calcu-lates the client’s urinary output for the shift to be:. A nurse is caring for a client who is receiving an intravenous (IV) infusion of an antineoplastic medication. )A nurse is caring for a client who is to receive potassium replacement. A nurse is providing discharge dietary teaching to a client who has a something and is taking medication theophylline and to provide general instructions the nurse should include? 2. The client with which sign/symptom is displaying bone marrow suppression? A Hemoglobin of 7. absorption through the goggles. A nurse is caring for a client who is receiving radiation. We offer the flexibility of choosing from shifts ranging from 1-hour to 12-hours. Now, approximately an hour after the transfusion was initiated, the client’s vital signs are BP, 168/92 mm Hg; P, 98; R, 20. Filgrastim is used to treat neutropenia, a lack of certain white blood cells caused by cancer, bone marrow transplant, receiving chemotherapy, or by other. Hematologic system A client has anticoagulant-induced hypoprothrombinemia. NCLEX Practice Test Set 2 (50 Questions Answers) Free Quiz for NCLEX-RN & NCLEX-PN Exams. A nurse is teaching a group of parents of toddlers about measures to reduce. Filgrastim injection is used to treat neutropenia (low white blood cells) that is caused by cancer medicines. 2) Provides foods high in potassium. Counselors help clients through an array of difficult circumstances, for example drug addiction, abuse or mental illness. Which of the following findings should the nurse identify as an adverse effect of the medication and report to the provider? A nurse is caring for a client who is receiving filgrastim. The nurse should explain that the purpose of restricting sodium is to: Filgrastim (Neupogen) 5 mcg/kg/day by injection is prescribed for a client who weighs 132 lb. The nurse provides education to Ms. There are 530+ nursing pharmacology practice questions in this nursing test bank partitioned into 11 parts. Question: When planning care for a patient who is receiving filgrastim (Neupogen) for a nonmyeloid malignancy, the nurse should formulate . During the care of a client with a salmonella infection, the primary nursing intervention to limit transmission is which of these approaches? A) Wash hands thoroughly before and after client contact: 100. 3% (2016) Number of licensed beds: 1. Other times it is the ability to improve the body's ability to achieve or maintain health. The nurse is caring for a client who started receiving chemotherapy 10 days ago. Which of the following actions should the nurse take to assess for an adverse effect of filgrastim? Memory B cells are programmed to remember the initial antigen interaction. A nurse is monitoring a client who is undergoing anticoagulant therapy with heparin. Assess any bone pain to rule out musculoskeletal pathology; that is, try to determine if pain . The nursing care plan for this client should give priority to:. Which of the following findings should indicate to the nurse that the treatment is effective? a. The nurse has taught the client about this drug and about anemia. The client is receiving oxytocin by continuous IV infusion with a maintenance IV solution. Objective: Use the nursing process to care for clients who are receiving drug therapy for skin disorders. Routine laboratory results reveal a potassium level of 2. 4°F; pulse (P), 86; respirations (R), 14. She reports the exzm of hot flashes to the nurse. Exercises that move each muscle and joint are called? Range of Motion. Which lunch selection suggests the client has learned about necessary dietary changes? A) grilled chicken sandwich and skim milk B) roast beef, mashed potatoes, and green beans. Alert and oriented to place and time. List two actions the client will take to prevent adverse reactions of this medication therapy. Which laboratory value would the nurse monitor in a patient receiving methylprednisolone?. The nurse is caring for a female client experiencing neutropenia as a result of chemotherapy and develops a plan of care for the client. Full PDF Package Download Full PDF Package. Allopurinol A client is receiving radiation therapy for lesions in the abdomen from non-Hodgkin's lymphoma. A health care professional is caring for a patient who is about to begin taking filgrastim (Neupogen) to treat neutropenia. Which of the following products should the nurse instruct the client to avoid? Naproxen A nurse is teaching a client who is to begin cyclophosphamide therapy to treat cancer. Anurse recently administered filgrastim intravenously to a. Develop teaching points to describe the indications for this drug. Which of the following actions should the nurse take to assess for an adverse effect of. Transcribed image text: A nurse is caring for a client who has heart failure notices that the client did not receive his scheduled dose of furosemide. The nurse determines that teaching is effective when the patient makes which statement?"I can keep taking tablets until the pain is gone, but I should not use more than five tablets. Which of the following findings should the nurse document to indicate the effectiveness of the therapy? Increased neutrophil count Increased RBC count Decreased prothrombin time Decreased triglycerides A nurse is instructing a client on the application of nitroglycerin transdermal patches. The Hematologic System ATI Pharmacology 4. A client is receiving filgrastim (Neupogen). Children who receive intensive chemotherapy . Thread pulse A nurse is caring for a client who has hyponatremia and. Number of nursing homes: 15,600 (2016) Proportion of nursing homes with for-profit ownership: 69. Filgrastim is generally given on a daily basis. NCLEX Practice Questions: Quiz 495. The nurse informs the patient that he will receive the drug at. Filgrastim (Neupogen) biologic response modifier support medication side effects, how it's given, how it works, precautions and self care tips for treatment . A nurse is caring for a client who has diabetes mellitus and is taking pioglitazone The nurse should plan to monitor the client for which of the following adverse Cells to monitor with filgrastim. After parenteral administration of phytonadione, blood coagulation factors should increase within: 1 - 1 to 2 hours. Demographic data of parents of preterm study infants. What are three (3) nursing considerations for this medication? • Monitor for signs and symptoms of allergic reactions • Assess for signs and symptoms of acute respiratory distress syndrome. During An Inspection Of The Site, The Nurse Notes Redness And Swelling And That The Rate Of Infusion Of The Medication Has Slowed. The physician prescribes phytonadione (AquaMEPHYTON), 2. RN Pharmacology 2019 QUESTIONS 1. Which of the following finds should. Question:When planning care for a patient who is receiving filgrastim (Neupogen) for a nonmyeloid malignancy, the nurse should formulate which of the following patient outcomes? Question: An immunocompromised patient with a diagnosis of candidiasis has failed to respond to conservative therapy and has consequently … treatment with amphotericin B. The enteral tube is misplaced or dislodged. for which of the following findings should the nurse notify the provider? 44. Eat foods low in carbohydrates. Call your healthcare provider if you experience these symptoms. 3 - The client probably has meningitis. Which of the following laboratory values should the nurse monitor to determine effectiveness of this medication? a. What does this assessment of the client's eyes indicate? 1 - The client is permanently paralyzed. The nurse recognizes that this medication should not be given when the client has: A patient is receiving bone marrow transplantation for cancer and receives filgrastim (Neupogen). Nursing diagnosis and care planning related to drug therapy include: The nurse is giving medication teachings to a client receiving . Filgrastim helps the bone marrow to make new white blood cells. A nurse is caring for a client who does not speak English. Pegfilgrastim is given as a single injection. a nurse is caring for a client who is postoperative following a thyroidectomy and is receiving morphine for pain. the nurse is mixing regular insulin and NPH into a syringe for a client who has diabetes mellitus. If hair loss is a problem, refer to. Before using filgrastim injection, take it out of the refrigerator and leave it at room temperature for 30 minutes. In order to calculate the rate of the IV flow in drops per minute, the nurse must know the number of drops per millilitre of fluid the tubing delivers. Filgrastim may be given subcutaneous (the layer between the skin and muscle) injection or infused into a vein (intravenous, IV). During the care of a client with a salmonella infection, the primary nursing intervention to limit transmission is which of these approaches? A nurse is reinforcing teaching with a client about compromised host precautions. Report errors and implement corrective actions immediately. What is the total 8-hr fluid intake in milliliters that the nurse should document for this client? C. The nurse is caring for a client who is receiving intravenous fluids that are not regulated on an electronic controller. Which of the following laboratory values indicates that the treatment has been effective: 1) Hgb 15 g/dL 2) WBC 8,000/mm3. The client who is receiving intravenous chemotherapy (into a peripheral line) with an agent that is an irritant says that her arm burns terribly at and around the IV site. Today, the health care provider prescribes filgrastim. weight gain is a particular consideration among those receiving antipsychotics. A nurse is caring for a client who is scheduled to receive external radiation to the neck for cancer of the larynx. The purpose of filgrastim is to raise the client's absolute neutrophil count. A nurse is caring for a client who has heart failure and is receiving furosemide (Lasix) and digoxin (Lanoxin). Which of the following is the priority action by the nurse? a. These are not all the possible side effects of NEUPOGEN. During The Infusion, The Client Complains Of Pain At The Insertion Site. Contribute to the care plan for an older person. In an effort to prevent infection, Mr. Tilt the clients head back when administering the medications. who will receive chemotherapy will require more observation after receiving the medication. Abdominal distention is present. Welcome to your ultimate set of nursing pharmacology questions for the NCLEX!In this nursing test bank, test your competence in nursing pharmacology with these 500+ practice NCLEX questions. Your hair will grow back once you stop treatment with filgrastim. It is one of the classifications of drug class called immunomodulators. " which of the following reasons should the nurse clarify this prescription with the provider. the client had chemotherapy 12 hr before the medication was administered. The nurse is caring for a client who has been receiving filgrastim. Pegfilgrastim Injection: MedlinePlus Drug Information. interview the client in the presence of the family. Which results are most important to report to the health care provider? SATA. Singh is a 66-year-old man who is receiving chemotherapy for the treatment of lung cancer that has metastasized to his liver. Increase the fiber in the diet and drink water to reduce the chance of developing constipation. Determining costs of nursing home care depends on many factors. A nurse is assessing a client who is receiving intravenous therapy. Iron deficiency can lead to anemia, a lack of oxygen in the blood, which in turn can lead to fatigue and other complications. Which of the following laboratory values indicates that the treatment has been effective: 2) WBC 8,000/mm A client who has hypothyroidism and is breastfeeding tells the nurse that she is taking levothyroxine (Synthroid) and is concerned that it will be excreted in. " As the client begins to have a generalized seizure, how does the nurse interpret this client's signs and symptoms? A. The nurse is caring for a client with ascites. The nurse supposedly chose to override safeguards when she could not find Versed in an automatic dispensing cabinet, typed "VE" into the cabinet's system, and then selected the first medication — vecuronium — that came up on the list. People who receive palliative care along with treatment for the cancer often have . He asks the nurse "That is such a funny name; where do you suppose it comes from?" An important nursing consideration in caring for a client who is receiving anti-anemia therapy is history of: Definition. The provider's prescription reads. D) Presence of blood in urine or stools. Pharmacology Remediation 2021 Proctor 1. Which of the following findings should the nurse document to indicate the effectiveness of the therapy? increase neutrophil count. Client with acute osteomyelitis prescribed vancomycin has leukocytosis. Which of the following actions should the nurse take first? Turn the client to a side-lying position A nurse is caring for a client who is. Which of the following interventions is appropriate? A. Filgrastim is a man-made form of a protein that stimulates the growth of white blood cells in your body. Management of Neutropenia in Cancer Patients. This nursing care plan and diagnosis is for Mastitis related to breastfeeding. A nurse is caring for a client who is receiving daily doses of oprelvekin. Bleeding gums A nurse is caring for a client who is in labor. * *Please ask your chemotherapy nurse or pharmacist for a copy. Symptoms may include fever, abdominal pain, feeling tired, and back pain. INDICATIONS Patients With Cancer Receiving Myelosuppressive Chemotherapy. And it often works best when it is started right after a cancer diagnosis. A nurse is preparing to administer filgrastim for the first to a client who has undergone a bone marrow transplant. A client newly diagnosed with renal failure asks the nurse why he must receive injections of epoetin alfa (Epogen, Procrit). The nurse has completed medication education with the patient who is receiving nitroglycerine (Nitrostat) as therapy for angina. A nurse is instructing a client who has a new prescription for nitroglycerin transdermal patch about administration. Which of the following medications should the nurse anticipate administering to the client? Filgrastim Enoxaparin Epoetin alfa Rifampin A nurse is reinforcing teaching with a client who has asthma and a new. a nurse is caring for an older adult client who is to. available is filgrastim 300 mcg/mL. Before administering the injection, the nurse evaluates the effects of the medication and determines that a therapeutic effect is occurring if the client makes which statement?. HESI Pharmacology Practice Exam. A nurse is caring for a client who is receiving warfarin to treat atrial fibrillation. Which of the following findings should the nurse document to indicate the effectiveness of the therapy? Increased neutrophil count. WBC 3000 a nurse is providing teaching to a client who has a new prescription for phenelzine. ""I can take one tablet every 5 minutes, but not more than three tablets in 15. A nurse is caring for a client who is receiving dextrose 5% in water IV at 150 mL/hr and has ingested 4 oz of water and ½ pint of milk. A nurse is caring for a school-aged child who has been admitted to the facility in sickle cell crisis. 2014 - Study Guide for Medical-Surgical Nursing - Assessment and Management of Clinical Problems, 9th Edition. A nurse is caring for a client who is receiving filgrastim. A nurse is caring for a client who has been taking isoniazid and rifampin for 3 weeks for the treatment of active pulmonary tuberculosis (TB). Encourage the client to take deep breaths Instantly administer methadone Position the client in Fowler's position Monitor the client for signs of nausea and vomiting When caring for a client with a drop in the respiratory rate, the nurse should coach the client to breathe to increase his respiratory rate. Question 10 A nurse is caring for a 64-year-old female patient who is receiving IV heparin and reports bleeding from her gums. An interpreter is assisting the nurse with the client's admission to the hospital. This is the number of neutrophils you have in a certain amount of blood. A client with a history of emphysema is now terminally ill with cancer of the esophagus. Privatus Care Solutions is seeking experienced, per diem Registered Nurses (RN) that enjoy the benefits and luxury of caring for only one person at a time! We have offices in MA, NY, NJ, CT & FL - but are busy and looking for RNs throughout Westchester County. The nurse expects to perform which action concerning this drug on the day prior to the client’s chemotherapy treatment?. What adjunct treatment will the nurse expect the health care provider to order for this client? answer. A client is receiving home oxygen. The nurse can assess the client who will have a central venous. The nurse interprets that the client is experiencing a toxic effect of this medication on the basis of which assessment finding? 1. Patient with bladder cancer receiving Cisplatin medication what to. The nurse is aware that vincristine must always be administered • Question 3 A Nurse Practitioner is to use a single-dose 1 mL vial. Because of the effects of the radiation treatments, what will the nurse assess for?. Decreased white blood cell count 4. Document the client's intake from the most recent meal. ) A nurse is caring for a client who has hyponatremia and is receiving an infusion of a prescribed hypertonic solution. A nurse is planning care for a client who is receiving mannitol via IV . B) The patient will not experience bone pain. The nurse administered furosemide 60 mg IV bolus 30 min earlier. the nurse should discontinue the infusion and prepare to administer claim gluconate if the client demonstrates which of the following findings? a nurse recently administered filgrastim intravenously to a client who has cancer and. A client with a diagnosis of tonsillar cancer is receiving filgrastim (Neupogen®). The nurse would be concerned if this client's leukocyte count exceeds _______ cells/mm3 asked Oct 27, 2016 in Nursing by Daligirl. Palliative care treats the unique medical and non-medical needs of people with serious or long-term illnesses. Which patient assessed by the nurse is most likely to develop myelodysplastic syndrome (MDS)? A A 52-year-old patient with acute kidney injury. Which intervention should the nurse implement when administering the biologic response modifier filgrastim (Neupogen) subcutaneously? A. A nurse is caring for a client receiving patient-controlled analgesia (PCA). Nurses usually work 12-hour shifts starting at either 7:00 a. She walks 5 miles most days and has a glass of wine two or three times a week. During the infusion, the client complains of pain at the insertion site. Check peripheral pulses in the affected extremity. ATI Pharmacology Quizzes & Midterm Q1 - Lim WED 1. Q-8 A client receiving chemotherapy and a steroid has a white blood cell count of 12,000/mm3 and a red blood cell count of 4. Mastitis is inflammation of the breast tissue. The nurse is evaluating the laboratory results of a client who is receiving filgrastim (Neupogen). C) The patient will be able to self-administer filgrastim at home. Prior to administering the next dose of the medication the nurse notes that the client's absolute neutrophil count is 11,000/mm3. Before using this drug, take it out of the refrigerator and leave it at room temperature for 30 minutes. CHAPTER 3A nurse is caring for a client who is receiving cefotaxime (Claforan) 1 g by intermittent IV bolus. Theamount available is cefotaxime 1 g in dextrose 5% in water (D5W) 100 mL to infuse over 45 min. A nurse is teaching for a client who is to begin taking Tamoxifen to treat breast cancer. The instruction that should receive priority by the nurse is: 1. The nurse should instruct the client to expect which of the following findings as an adverse effect of the medication? a. How can the nurse best respond?. Fidelity is being faithful to one's promises. filgrastim? A nurse is caring for a client who is starting a course of gentamicin IV for a serious respiratory. ATI Pharmacology – Proctored Assessment Summer 2020. Below are recent practice questions under Unit 2: PHARMACOLOGY – Medication Therapy. loss after a week of admission c. Pre-transfusion vital signs were blood pressure (BP), 144/78 mm Hg; temperature (T), 98. Which of the following finds should the nurse document to indicate the effectiveness of the therapy?. A client is to receive filgrastim (Neupogen) as a granulocyte-stimulating factor. statements by the client indicates an understanding of the meds ae. Naloxone may be administered if. In filgrastim clinical trials of cancer patients receiving myelosuppressive a need for intensive care. A nurse is caring for a client with cirrhosis of the liver. A nurse is reviewing the lab results for a client who has a prescription for filgrastim. The vial label reads filgrastim 300 mcg/mL. Aspirate carefully after inserting the needle into the client’s skin. Which of the following adverse effects should the nurse instruct the client to report? , A nurse is providing teaching to a client who has rheumatoid arthritis and is prescribed methotrexate (Rheumatrex). Diagnostic testing reveals that the cancer has spread outside the pelvis. When assessing the client, the nurse should monitor closely for signs and symptoms of:. Because of the effects of the radiation treatments, what will the nurse assess for? C Filgrastim. Note: If a drug has been approved for one use, physicians sometimes elect to use this same drug for other problems if they believe it might be helpful. Tinnitus Phenytoin (Dilantin) - Anticonvulsant. A nurse should advise a client who is receiving lorazepam (Ativan) about the adverse effects of this medication which include: 1. Mix the medications with a semisolid food for the client. which of the following instructions should the nurse provide the client (select all that apply) a. Which of the following should you include in the care plan for the patient? A. The client now wants palliative care instead of aggressive therapy. A nurse is reviewing the plan of care with a client who has a new prescription for.