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

A-Injection of air ensures that the accurate dose is withdrawn into the syringe

B-It is not necessary to administer within 20 min, it should, however, be administered within 24 hours.

C-Short-acting insulin should be drawn first to ensure that the short-acting insulin is not contaminated with the long-acting or intermediate one.

D- Insulin types can be mixed in the same syringe, provided the short-acting insulin is drawn up first.

A. Obtain the client's weight three times a week. B. Check the client's WBC count daily. C. Keep the solution refrigerated until 1 hr before infusion. D. Change the solution every 36 hr.

Correct Answer is C

Explanation

allow them to reach room temperature, which reduces the risk of discomfort or complications from infusing a cold solution.

A-Weight measures are not necessary to evaluate the effectiveness of the TPN

B-Daily WBCs are not necessary unless infection is suspected C-Refrigeration of TPN is not necessary

D It is crucial to change the TPN solution regularly to prevent contamination and minimize the risk of infection. Typically, TPN solutions are changed every 24 hours to maintain freshness and reduce the risk of bacterial growth.

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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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