A nurse is reviewing the medical record of a client who just received a dose of IV filgrastim. The client has cancer and is receiving cytotoxic chemotherapy. For which of
the following findings should the nurse complete an incident report?

The vial was out of the refrigerator for 2 hr before the medication was administered

The client had a decreased neutrophil count before the medication was administered

The client reported feeling nauseous after the medication was administered.

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

Answer and Explanation

The Correct Answer is A

The vial was out of the refrigerator for 2 hr before the medication was administered. - Filgrastim should be stored in the refrigerator and should not be exposed to room temperature for extended periods. This deviation from proper storage warrants an incident report.

B) The client had a decreased neutrophil count before the medication was administered. - A decreased neutrophil count is an expected indication for filgrastim administration in clients receiving cytotoxic chemotherapy.

C) The client reported feeling nauseous after the medication was administered. -

Nausea is a common side effect of filgrastim and may not necessarily require an

incident report.

D) The client had chemotherapy 12 hr before the medication was administered. - This

timing is appropriate for administering filgrastim to stimulate neutrophil production

in response to chemotherapy-induced myelosuppression.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is ["A","B","D","E","F"]

Explanation

A. “You may initially notice an increase in involuntary movements."- Levodopa- carbidopa can initially cause an increase in involuntary movements, known as dyskinesias. This is an important aspect to educate the client about, as it may be alarming if not expected.
B. “The medication can cause nausea, so take with a meal.”- It is also crucial to mention that the medication can cause nausea; therefore, taking it with a meal can help mitigate this issue
C. “You may notice your urine becomes lighter in color."- Levodopa can cause dark- colored urine (brown, black) and not light discoloration.
D. “You can experience vivid nightmares."- Vivid dreams or nightmares are possible side effects of levodopa-carbidopa therapy. Informing the client about this potential adverse effect prepares them for what they may experience.
E. “This medication can make you light-headed if you stand up too quickly from a seated or lying position."- Orthostatic hypotension is a common side effect of levodopa-carbidopa, especially when standing up quickly. Advising the client about this risk helps prevent falls and injuries.
F. "Consumption of a high protein meal can reduce the effectiveness of the medication."- Protein intake can interfere with the absorption of levodopa. Therefore, advising the client to avoid high-protein meals around the time of medication administration can optimize its effectiveness.

A. Withdraw the NPH insulin from the vial. B. Withdraw the regular insulin from the vial. C. Inject air into the regular insulin vial. D. Inject air into the NPH vial.

Correct Answer is D

Explanation

A) Withdraw the NPH insulin from the vial. - Injecting air into the regular insulin vial should be the second step to prevent contamination when mixing insulin.

B) Withdraw the regular insulin from the vial. - This is the third step after injecting air into regular insulin vial. The clear (regular) insulin should be drawn up before the cloudy (NPH) insulin to prevent contamination.

C) Inject air into the regular insulin vial. - This is the second step. This action allows for easier withdrawal of the insulin and prevents negative pressure in the vial.

D) Inject air into the NPH vial. - The nurse should first inject air into the NPH vial first. This allows for easier withdrawal of NPH by preventing a vacuum from forming.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is reviewing the medical record of a client who just received a dose of IV filgrastim. The client has cancer and is receiving cytotoxic chemotherapy. For which of the following findings should the nurse complete an incident report?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client in a provider's office. Exhibits Which of the following statements should the nurse include when teaching the client about the prescribed medication? Select all that apply.

Correct Answer is ["A","B","D","E","F"]

Explanation

A nurse is mixing regular insulin and NPH insulin in the same syringe prior to administering it to a client who has diabetes mellitus. Which of the following actions should the nurse take first?

Correct Answer is D

Explanation

A nurse is preparing to administer a medication to a client when they discover that the wrong medication was dispensed by the pharmacy. Which of the following actions should the nurse take?

A nurse is assessing a client who has hypertension and has started taking lisinopril.Which of the following findings should the nurse report to the provider immediately?

A nurse is assessing a client who is in labor and is receiving epidural anesthesia. Which of the following findings should the nurse identify as the priority?

A nurse is caring for a client who is dehydrated and receiving IV fluid replacement. The nurse should identify that which of the following findings indicates the treatment has been effective?

A nurse is preparing to administer propranolol to a client. Which of the following should the nurse assess prior to administering this medication?

A nurse is preparing to administer an antibiotic via intermittent IV bolus to a client who is already receiving an infusion of 0.9% sodium chloride at 100 mL/hr. Which of the following actions should the nurse take?

A nurse in an emergency department is assessing a client who received epinephrine.Which of the following findings should the nurse report as an adverse effect of epinephrine?

A nurse is reviewing the medical record of a client who just received a dose of IV filgrastim. The client has cancer and is receiving cytotoxic chemotherapy. For which of the following findings should the nurse complete an incident report?

A nurse is reviewing the medical record of a client who just received a dose of IV filgrastim. The client has cancer and is receiving cytotoxic chemotherapy. For which of
the following findings should the nurse complete an incident report?