E. The patient will be able to self-administer filgrastim at home. 1 points QUESTION 19 1. A patient receiving high-dose cisplatin therapy exhibits symptoms of hypomagnesemia. Which of the following should the nurse suggest to help offset the magnesium losses from the cisplatin therapy? 2. A . Consuming chocolates B . Drinking 2 to 3 liters of fluid a day C . Consuming potassium-rich foods D . Consuming dairy products 1 points QUESTION 20 1. A patient with non-Hodgkin's lymphoma (NHL) will be starting a course of doxorubicin shortly. When planning this patient's care, what nursing diagnosis should the nurse prioritize?
2. A . Risk for Impaired Skin integrity related to cytotoxic effects of doxorubicin B . Risk for Infection related to suppressed bone marrow function C . Risk for Imbalanced Nutrition: More Than Body Requirements related to metabolic effects of doxorubicin D . Risk for Ineffective Airway Clearance related to decreased neurological function 1 points QUESTION 21 1. 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? 2. A . “Have you noticed any bleeding in your gums or cheeks?” B . “Are you experiencing any waves of cool, clammy skin?” C . “Have you had any shortness of breath lately?” D . “Do you feel like you're having any pain in your bones?” 1 points QUESTION 22 1. Which of the following patients will be at the greatest risk for anemia and would be the most likely candidate for epoetin alfa therapy? 2. A . A 40-year-old male with a high white blood cell count B . A 62-year-old male with cancer C . A 30-year-old pregnant woman D . A 20-year-old female 1 points QUESTION 23 1. A nurse has administered filgrastim to a diverse group of patients in recent months. Which of the following patients should the nurse observe for extremely elevated white blood cell counts following administration of the drug? 2. A . A 19-year-old male receiving radiotherapy B . A 39-year-old female with a nonmyeloid
malignancy C . A 47-year-old male with aplastic anemia D . A 25-year-old female with a diagnosis of congenital neutropenia 1 points QUESTION 24 1. A patient has completed 4 weeks of treatment with epoetin alfa. Which of the following assessment findings would most strongly indicate that treatment has been effective? 2. A . The patient maintains an oxygen saturation of 92% on room air B . The patient's hemoglobin level is 11 g/dL C . Capillary refill in the patient's nail beds is less than or equal to 3 seconds D . The patient white blood cell level is within reference ranges 1 points QUESTION 25 1. Intravenous carmustine has been prescribed for a patient with cancer.
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- Fall '13