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 B

Explanation

Ensures the right client is receiving the medication to avoid medication errors. Two identifiers ensures that two clients with a thing in common can be told apart to avoid administering medications into the wrong individual.

A,C,D- Are important steps but not related to client safety which is priority

A. Ginkgo biloba B. Coenzyme QIO C. Valerian D. Probiotics

Correct Answer is A

Explanation

Ginkgo biloba is a form of alternative medicine that is used due to its antioxidants and cardiovascular benefits. In addition to these, it has antiplatelet effects which increases the risk of bleeding when used concurrently with anticoagulants such as in clients receiving warfarin

Coenzyme QIO, Valerian and probiotics have no notable interactions with warfarin

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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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