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.

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Free Nursing Study Resources

Correct Answer is C

Explanation

A) Decreased blood pressure - IV fluid replacement is expected to improve hydration

status, which should lead to stabilization or normalization of blood pressure rather

than a decrease.

B) Excessive thirst - Excessive thirst indicates dehydration and would not indicate

effective IV fluid replacement.

C) Moist oral mucous membranes - Moist oral mucous membranes are a sign of

adequate hydration and indicate that IV fluid replacement has been effective.

D) Increased heart rate - IV fluid replacement is expected to improve hydration status,

leading to stabilization or normalization of heart rate rather than an increase.

A. Hypokalemia B. Endocarditis C. Kidney transplant D. Seizures

Correct Answer is B

Explanation

A) Hypokalemia - Metronidazole is not indicated for the treatment of hypokalemia.

B) Endocarditis - Metronidazole is commonly used in combination with other antibiotics for the treatment of endocarditis, particularly in cases involving anaerobic bacteria.

C) Kidney transplant - Metronidazole is not typically used for prophylaxis in kidney transplant recipients.

D) Seizures - Metronidazole is not indicated for the treatment of seizures.

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

Correct Answer is C

Explanation

A nurse is providing teaching to a client who is receiving intermittent parenteral metronidazole. Which of the following conditions should the nurse recognize as an indication for this medication?

Correct Answer is B

Explanation

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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?