Give It Correctly
Alendronate must be taken with a full glass of this beverage.
What is plain water?
A client with chronic kidney disease has symptomatic anemia and needs stimulation of red blood cell production. Which medication might be prescribed?
What is epoetin alfa?
This common adverse effect of filgrastim occurs because the medication stimulates bone marrow activity.
What is bone pain?
This medication is specifically discussed in the lecture for chemotherapy-induced neutropenia.
What is filgrastim?
This vital sign should be monitored frequently while a client receives epoetin alfa.
What is blood pressure?
Clients taking alendronate must wait at least this long before eating, drinking other beverages, or taking other medications.
What is 30 minutes?
A client receiving chemotherapy develops severe neutropenia. Which medication may be prescribed to increase neutrophil production?
What is filgrastim?
Epoetin alfa can cause this cardiovascular adverse effect related to an increase in hematocrit.
What is hypertension?
Filgrastim is being administered to a chemotherapy client to help manage this condition.
What is neutropenia?
These two laboratory values should be monitored during epoetin alfa therapy.
What are hemoglobin and hematocrit?
Clients taking alendronate must wait at least this long before eating, drinking other beverages, or taking other medications.
What is 30 minutes?
A client with chronic ITP has persistently low platelet counts. Which medication can stimulate platelet production?
What is romiplostim?
A client taking filgrastim who reports left upper quadrant abdominal pain or shoulder-tip pain should be evaluated for this serious complication.
What is splenomegaly or splenic rupture?
A client receiving filgrastim reports this persistent adverse manifestation specifically mentioned in the lecture.
What is bone pain?
This laboratory test should be monitored twice per week during filgrastim therapy.
What is the CBC/WBC count?
For osteoporosis, denosumab is administered subcutaneously at this interval.
What is every six months?
A chemotherapy client needs a longer-acting medication to decrease the duration of neutropenia. Which medication is most appropriate?
What is pegfilgrastim?
A rapid rise in hemoglobin while taking epoetin alfa can increase the risk for these serious events, including myocardial infarction and stroke.
What are thrombotic events?
A chemotherapy client says, “Why am I taking filgrastim if I don't feel sick?” The nurse should explain that the medication is being used to manage or prevent complications associated with this low blood-cell problem.
What is chemotherapy-induced neutropenia?
Before administering epoetin alfa, the nurse should make sure the client has adequate levels of iron, folic acid, and this vitamin.
What is vitamin B12?
Clients using calcitonin-salmon nasal spray should do this with their nostrils each day.
What is alternate nostrils?
A client after bone marrow transplantation needs stimulation of granulocyte and macrophage production. Which medication may be prescribed?
What is sargramostim?
This adverse effect can occur with epoetin alfa when blood counts rise too rapidly, especially along with increased hemoglobin or blood pressure.
What are seizures?
A client receiving filgrastim complains of persistent bone pain. According to the lecture's clinical-judgment emphasis, the nurse should do these two things while encouraging continued therapy.
What are assess/manage the manifestation and promote treatment adherence?
The nurse should reduce or interrupt sargramostim if the WBC reaches this level or higher.
What is 50,000/mm³?