Its important that you let us know if you develop any significant swelling or

Its important that you let us know if you develop any

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“It's important that you let us know if you develop any significant swelling or puffiness.” Response Feedback: Patients must understand the importance of reporting edema of weight gain while taking imatinib. The patient will not likely have a PICC line. Nausea and dry mouth are not common adverse effects and the patient should not unilaterally stop taking the drug. Question 22 1 out of 1 points Which of the following patients will be at the greatest risk for anemia and would be the most likely candidate for epoetin alfa therapy? Selected Answer: A. A 62-year-old male with cancer Correct Answer: A. A 62-year-old male with cancer Response Feedback : Older adults who have cancer and are receiving chemotherapy are especially vulnerable to the adverse effects of anemia as a result of chemotherapy and would therefore be the most likely candidates for epoetin alfa therapy. Young adults over age 18, pregnant women, and patients with a high white blood cell count are not as vulnerable to anemia and would not require epoetin alfa therapy. Question 23 1 out of 1 points When planning care for a patient who is receiving filgrastim (Neupogen) for a nonmyeloid malignancy, the nurse should formulate which of the
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following patient outcomes? (Select all that apply.) Selected Answers: A. The patient will be able to self-administer filgrastim at home. C. The patient will not experience bone pain. D. The patient will not develop febrile neutropenia. E. The patient will not develop an infection. Correct Answers: A. The patient will be able to self-administer filgrastim at home. C. The patient will not experience bone pain. D. The patient will not develop febrile neutropenia. E. The patient will not develop an infection. Response Feedback : Desired outcomes for a patient receiving filgrastim include that febrile neutropenia will be avoided and infection and bone pain will not develop, or at least bone pain will not be unmanageable if it develops. Also, because this drug is administered subcutaneously every day during therapy, management of their own administration would be a positive outcome for patients. A patient who is taking oprelvekin would be at risk for fluid retention. Filgrastim is not associated with this adverse effect. Question 24 1 out of 1 points Mr. Singh is a 66-year-old man who is receiving chemotherapy for the treatment of lung cancer that has metastasized to his liver. In an effort to prevent infection, Mr. Singh has been prescribed filgrastim (Neupogen). Which of the nurse's following assessment questions most directly addresses a common adverse effect of filgrastim? Selected Answer: A. “Do you feel like you're having any pain in your bones?” Correct Answer: A. “Do you feel like you're having any pain in your bones?” Response Feedback Medullary bone pain is a consistently observed adverse effect that can be attributed to drug therapy with filgrastim; it is mild
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: to moderate in severity and is reported in 56% of patients taking the drug. Shortness of breath, mucosal bleeding, and cool, clammy skin are not adverse effects typical of filgrastim.
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  • Summer '15
  • Oncology, Chemotherapy, Leukemia, Rituximab

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