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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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Correct Answer is B
Explanation
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Choice B rationale: Ferrous sulfate elixir may stain the teeth. Administering it through a straw helps minimize the risk of dental discoloration.
Choice C rationale: Antacids may decrease iron absorption.
Choice D rationale: Milk can also interfere with iron absorption.
Correct Answer is C
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Choice A rationale: Naloxone is primarily used to reverse opioid overdose.
Choice B rationale: Alprazolam is a benzodiazepine typically prescribed for anxiety disorders.
Choice C rationale: Bupropion is a medication used to aid smoking cessation by reducing nicotine cravings and withdrawal symptoms. It's among the commonly prescribed medications for individuals seeking to quit smoking.
Choice D rationale: Melatonin is a supplement used for regulating sleep cycles and isn't directly linked to smoking cessation.
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