A nurse recently administered filgrastim intravenously to a client who has cancer and is receiving cytotoxic chemotherapy. For which of the following data, discovered after the medication was administered, should the nurse file an incident report?

The client's absolute neutrophil count was 2,500/mm3 before the medication was administered.

The medication vial sat at room temperature for 2 hr before it was administered.

The client had chemotherapy 12 hr before the medication was administered.

The nurse flushed the client's IV line with dextrose 5% in water before and after the medication was administered.

Answer and Explanation

The Correct Answer is B

Choice A rationale: The client's initial neutrophil count might be within an acceptable range for filgrastim administration.
Choice B rationale: Filgrastim, a medication used to increase white blood cell count, should ideally be stored and administered as per manufacturer recommendations.
Allowing it to sit at room temperature for an extended period could affect its potency or efficacy, necessitating an incident report.
Choice C rationale: Having chemotherapy before filgrastim administration might not necessitate an incident report.
Choice D rationale: Flushing the IV line with dextrose solution is a routine practice and might not relate to the need for an incident report.

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Correct Answer is C

Explanation

Choice A rationale: Constipation is not a typical adverse effect associated with albuterol use.
Choice B rationale: Fever is not a commonly reported adverse effect of albuterol.
Choice C rationale: Albuterol, a bronchodilator used in asthma, can lead to increased heart rate or tachycardia as a common adverse effect due to its stimulatory effect on beta-receptors.
Choice D rationale: Albuterol is more likely to cause stimulating effects rather than drowsiness.

A. Hyperkalemia B. Tachycardia C. Rhinitis D. Bradypnea

Correct Answer is B

Explanation

Choice A rationale: While propranolol withdrawal can have various effects, hyperkalemia isn't typically associated with sudden discontinuation of this medication.
Choice B rationale: Propranolol is a beta-blocker used to treat conditions like hypertension and cardiac arrhythmias. Stopping this medication suddenly can lead to rebound effects, such as an increased heart rate or tachycardia, due to sudden withdrawal of the medication's effects on the heart.
Choice C rationale: Rhinitis is not a typical manifestation of propranolol withdrawal.
Choice D rationale: Bradypnea, or slow breathing, is not commonly associated with the withdrawal effects of propranolol.

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A nurse recently administered filgrastim intravenously to a client who has cancer and is receiving cytotoxic chemotherapy. For which of the following data, discovered after the medication was administered, should the nurse file an incident report?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has asthma and a prescription for albuterol. The nurse should monitor the client for which of the following adverse effects?

Correct Answer is C

Explanation

A nurse is caring for a client who reports taking propranolol for several years but has recently stopped for financial reasons. The nurse should assess the client for which of the following findings?

Correct Answer is B

Explanation

A nurse is teaching a client about self-administration of enoxaparin. Which of the following instructions should the nurse include? (Select all that apply.)

A nurse is reviewing a client's medical record before administering acetaminophen 650 mg PO every 6 hr. Which of the following findings indicates a need for the nurse to notify the provider?

A nurse is administering naloxone to a client who has developed an adverse reaction to morphine. The nurse should identify which of the following findings as a therapeutic effect of naloxone.

A nurse is interviewing a client who was newly admitted prior to administering medications. The client tells the nurse, "I forgot to tell the doctor take albuterol for asthma." For which of the following medications should the nurse withhold the dose and notify the provider?

A nurse is planning to administer a controlled substance to a client who is experiencing pain. Which of the following actions should the nurse plan to take first?

A nurse realizes that they failed to administer a medication that was due 4 hr ago to a client. Which of the following actions should the nurse take first?

A nurse is caring for a client who has heart failure and is taking hydrochlorothiazide. The nurse should monitor the client for which of the following manifestations as an adverse effect of the medication?

A nurse is providing teaching to a client who has a gastric ulcer and a new prescription for ranitidine. Which of the following statements by the client indicates an understanding of the teaching?