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) Indomethacin - Indomethacin is not a contraindication for sildenafil use.

B) Albuterol - Albuterol is not a contraindication for sildenafil use.

C) Nitroglycerin - Sildenafil and nitroglycerin both cause vasodilation, and concurrent use can lead to severe hypotension, making nitroglycerin a contraindication for sildenafil use.

D) Furosemide - Furosemide is not a contraindication for sildenafil use.

A. Estrogen B. Methotrexate C. Metformin D. Esomeprazole

Correct Answer is B

Explanation

A) Estrogen - Estrogen therapy is not a contraindication for receiving the shingles vaccine.

B) Methotrexate - Methotrexate is an immunosuppressive medication and is a contraindication for receiving live vaccines such as the shingles vaccine.

C) Metformin - Metformin therapy is not a contraindication for receiving the shingles vaccine.

D) Esomeprazole - Proton pump inhibitors like esomeprazole are not contraindications for receiving the shingles vaccine.

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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 reviewing the medication list of a client who has erectile dysfunction and is requesting a prescription for sildenafil. The nurse should identify that which of the following medications is a contraindication for receiving this medication?

Correct Answer is C

Explanation

A nurse in a clinic is assessing a 60-year-old client at an annual examination. The client asks the nurse about receiving a shingles vaccination. The nurse should identify thatwhich of the following medications prescribed to the client is a contraindication for receiving this vaccine?

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?