A nurse is reviewing the laboratory data of a client who is receiving filgrastim. Which of the following laboratory values should the nurse monitor to evaluate the effectiveness of the treatment?

Potassium level

BUN

INR

WBC count

Answer and Explanation

The Correct Answer is D

Filgrastim is a medication that stimulates the production of white blood cells (WBCs), particularly neutrophils, which are a type of WBC important for fighting infections. An increase in the WBC count would indicate that filgrastim is effectively stimulating the production of WBCs, which is desirable, especially in clients who are at risk of neutropenia (low WBC count) due to chemotherapy or other factors.

Monitoring potassium levels is important for clients receiving certain medications or experiencing conditions that can affect potassium balance, but it is not specifically related to filgrastim therapy.

BUN is a measure of kidney function and hydration status, but it is not typically monitored to evaluate the effectiveness of filgrastim treatment.

INR is a measure of blood clotting and is primarily monitored in clients receiving anticoagulant therapy, such as warfarin. It is not relevant to filgrastim therapy.

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Correct Answer is A

Explanation

Nalbuphine is also an opioid like morphine. Opioids suppress the central respiratory centers leading to respiratory depression. Use of two opioids increases their levels in blood raising the risk of respiratory depression even higher which is fatal.

The other drugs do not have any significant interaction with morphine. C- An analgesic , C- Ondansetron- antiemetic, Insulin glargine- an form of insulin used in diabetes

A. Benztropine B. Naloxone C. Bromocriptine D. Diphenhydramine

Correct Answer is C

Explanation

Neuroleptic Malignant Syndrome (NMS) is a serious condition often associated with the administration of antipsychotic medications. Bromocriptine is a dopamine agonist used to D2 receptor blockade implicated in NMS. It improves the transmission of impulses in the dopaminergic neurons.

A-Benztropine is used in management of extrapyramidal effects of antipsychotics B-Naloxone is an opioid antagonist

D-Diphenhydramine is an antihistamine used in mild allergic reactions

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A nurse is reviewing the laboratory data of a client who is receiving filgrastim. Which of the following laboratory values should the nurse monitor to evaluate the effectiveness of the treatment?

Nursing Test Bank

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