Question 1

What does appropriate client teaching for clients receiving biologic response modifiers (BRMs)  include?

Accepted Answer

A)   Report weight loss and signs of infection or bleeding.
B)   Severe weakness and malaise are expected side effects.
C)   BRM therapy has no teratogenic effects.
D)   Most BRM side effects persist after therapy is discontinued.

Question 2

A client is receiving interferon. What should be the highest priority nursing intervention to prevent the client from experiencing rigors?

Accepted Answer

A)   Pretreat with acetaminophen (Tylenol)  and meperidine (Demerol) .
B)   Provide antiemetics before treatment and around the clock.
C)   Infuse IV fluids as quickly as possible and assess urine output.
D)   Provide analgesia every 4 hours and assess for pain.

Question 3

The client is being treated with Epoetin Alfa. The nurse notes that his blood pressure, which had a baseline reading of 114/82, has risen to stay consistently at 142/90 or higher. What is the highest priority action on the part of the nurse?

Accepted Answer

A)   Contact the physician; this is indicative of an adverse reaction to the medication.
B)   Contact the pharmacist; this is indicative of the drug being prepared in error.
C)   Contact the pharmacist; this indicates the client is experiencing an anaphylactic reaction.
D)   Contact the physician; this is an expected side effect of the medication.

Question 4

A client is taking G-CSF, or filgrastim (Neupogen) . Which nursing interventions are indicated for the most common side effect of this medication?

Accepted Answer

A)   Stool softeners and a high-fiber diet for constipation
B)   High fluid intake and vitamin C for alkaline urine
C)   Acetaminophen (Tylenol)  and assessment for fever
D)   Nonnarcotic analgesia and comfort measures for pain

Question 5

The nurse is administering erythropoietin. The nurse anticipates that the client will experience which side effects of receiving the medication?

Accepted Answer

A)   Orthostatic hypotension and dizziness
B)   Shortness of breath and tachypnea
C)   Bradycardia and agonal respirations
D)   Headaches and hypertension

Question 6

The client is being treated with Epoetin Alfa. The nurse expect to see in the client's laboratory values a(n)  _____ hematocrit and a(n)  _____ plasma volume.

Accepted Answer

A)   decreased; increased
B)   increased; decreased
C)   decreased; decreased
D)   increased; increased

Question 7

The highest priority nursing intervention to prevent the client from experiencing fatigue related to biologic response modifiers is to administer the drug:

Accepted Answer

A)   with iron to prevent anemia.
B)   with high-calorie foods to protect the stomach.
C)   before bedtime to allow the patient to sleep.
D)   with high-fat food to provide quick energy.

Question 8

A client is to receive filgrastim (Neupogen)  as a granulocyte-stimulating factor. The nurse recognizes that this medication should not be given when the client has:

Accepted Answer

A)   severe myelosuppression.
B)   a history of hypertension.
C)   received cytotoxic agents less than 24 hours before.
D)   a neutrophil count lower than 500.

Question 9

A client with leukemia is receiving colony-stimulating factors (CSFs) . The nurse anticipates that the client will be affected by the medication by exhibiting:

Accepted Answer

A)   a decrease in the actual size of the tumor.
B)   a decrease in length of posttreatment neutropenia.
C)   an increase in fungus-destroying ability.
D)   diminished bacterial infection. B

Question 10

The client is scheduled to receive treatment with Leukine. She is currently receiving treatment with lithium. As a result of the interaction of the medications, the nurse anticipates that the client will experience a(n)  _____ effect of the _____.

Accepted Answer

A)   increased; Leukine
B)   increased; lithium
C)   decreased; Leukine
D)   decreased; lithium A

Question 11

The nurse reviews a medication history for a client prescribed sargramostim (Leukine)  for treatment of acute myelogenous leukemia (AML) . The client is being treated with all of the following medications. Which one will require the nurse to contact the healthcare provider?

Accepted Answer

A)   Diphenhydramine (Benadryl) 
B)   Furosemide (Lasix) 
C)   Lithium (Eskalith) 
D)   Risperidone (Risperdal)  C

Question 12

A client is to receive oprelvekin (Neumega) . The nurse confirms that the client is experiencing fluid retention related to the medication by monitoring the client for evidence of:

Accepted Answer

A)   peripheral edema and exertional dyspnea.
B)   bradycardia and hypotension.
C)   restlessness and hypoxia.
D)   hypothermia and ventricular dysrhythmias.

Exam 39: Biologic Response Modifiers

What does appropriate client teaching for clients receiving biologic response modifiers (BRMs) include?

Correct Answer
verified

A client is receiving interferon. What should be the highest priority nursing intervention to prevent the client from experiencing rigors?

Correct Answer
verified

The client is being treated with Epoetin Alfa. The nurse notes that his blood pressure, which had a baseline reading of 114/82, has risen to stay consistently at 142/90 or higher. What is the highest priority action on the part of the nurse?

Correct Answer
verified

A client is taking G-CSF, or filgrastim (Neupogen) . Which nursing interventions are indicated for the most common side effect of this medication?

Correct Answer
verified

The nurse is administering erythropoietin. The nurse anticipates that the client will experience which side effects of receiving the medication?

Correct Answer
verified

The client is being treated with Epoetin Alfa. The nurse expect to see in the client's laboratory values a(n) _ hematocrit and a(n) _ plasma volume.

Correct Answer
verified

The highest priority nursing intervention to prevent the client from experiencing fatigue related to biologic response modifiers is to administer the drug:

Correct Answer
verified

A client is to receive filgrastim (Neupogen) as a granulocyte-stimulating factor. The nurse recognizes that this medication should not be given when the client has:

Correct Answer
verified

A client with leukemia is receiving colony-stimulating factors (CSFs) . The nurse anticipates that the client will be affected by the medication by exhibiting:

Correct Answer
verified
B

The client is scheduled to receive treatment with Leukine. She is currently receiving treatment with lithium. As a result of the interaction of the medications, the nurse anticipates that the client will experience a(n) _ effect of the _.

Correct Answer
verified
A

The nurse reviews a medication history for a client prescribed sargramostim (Leukine) for treatment of acute myelogenous leukemia (AML) . The client is being treated with all of the following medications. Which one will require the nurse to contact the healthcare provider?

Correct Answer
verified
C

A client is to receive oprelvekin (Neumega) . The nurse confirms that the client is experiencing fluid retention related to the medication by monitoring the client for evidence of:

Correct Answer
verified

Exam 39: Biologic Response Modifiers

What does appropriate client teaching for clients receiving biologic response modifiers (BRMs) include?

Correct AnswerverifiedShow Answer

A client is receiving interferon. What should be the highest priority nursing intervention to prevent the client from experiencing rigors?

Correct AnswerverifiedShow Answer

The client is being treated with Epoetin Alfa. The nurse notes that his blood pressure, which had a baseline reading of 114/82, has risen to stay consistently at 142/90 or higher. What is the highest priority action on the part of the nurse?

Correct AnswerverifiedShow Answer

A client is taking G-CSF, or filgrastim (Neupogen) . Which nursing interventions are indicated for the most common side effect of this medication?

Correct AnswerverifiedShow Answer

The nurse is administering erythropoietin. The nurse anticipates that the client will experience which side effects of receiving the medication?

Correct AnswerverifiedShow Answer

The client is being treated with Epoetin Alfa. The nurse expect to see in the client's laboratory values a(n) _____ hematocrit and a(n) _____ plasma volume.

Correct AnswerverifiedShow Answer

The highest priority nursing intervention to prevent the client from experiencing fatigue related to biologic response modifiers is to administer the drug:

Correct AnswerverifiedShow Answer

A client is to receive filgrastim (Neupogen) as a granulocyte-stimulating factor. The nurse recognizes that this medication should not be given when the client has:

Correct AnswerverifiedShow Answer

A client with leukemia is receiving colony-stimulating factors (CSFs) . The nurse anticipates that the client will be affected by the medication by exhibiting:

Correct AnswerverifiedB

The client is scheduled to receive treatment with Leukine. She is currently receiving treatment with lithium. As a result of the interaction of the medications, the nurse anticipates that the client will experience a(n) _____ effect of the _____.

Correct AnswerverifiedA

The nurse reviews a medication history for a client prescribed sargramostim (Leukine) for treatment of acute myelogenous leukemia (AML) . The client is being treated with all of the following medications. Which one will require the nurse to contact the healthcare provider?

Correct AnswerverifiedC

A client is to receive oprelvekin (Neumega) . The nurse confirms that the client is experiencing fluid retention related to the medication by monitoring the client for evidence of:

Correct AnswerverifiedShow Answer

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

The client is being treated with Epoetin Alfa. The nurse expect to see in the client's laboratory values a(n) _ hematocrit and a(n) _ plasma volume.

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified

Correct Answer
verified
B

The client is scheduled to receive treatment with Leukine. She is currently receiving treatment with lithium. As a result of the interaction of the medications, the nurse anticipates that the client will experience a(n) _ effect of the _.

Correct Answer
verified
A

Correct Answer
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C

Correct Answer
verified