Exam 39: Biologic Response Modifiers

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A patient who has cancer will begin treatment with a colony-stimulating factor.The patient verbalizes understanding of this drug's action with which statement?

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A

Prior to administration of interferon alpha,the nurse will administer which medications?

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A

A patient is receiving bone marrow transplantation for cancer and receives filgrastim (Neupogen).The patient reports abdominal pain in the left upper quadrant.The nurse will perform which action?

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C

The nurse is preparing to give sargramostim to a patient who has acute myelogenous leukemia (AML).The nurse assesses a heart rate of 78 beats per minute and a blood pressure of 120/70 mm Hg.The patient reports shortness of breath and has a cough and bilateral crackles.What will the nurse do next?

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A patient has been receiving an erythropoietin-stimulating agent (ESA)for 8 weeks.The nurse reviews the patient's chart and notes no increase in hemoglobin levels from 8 g/dL on week 3 of therapy.The nurse will request an order for

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The nurse is preparing to administer interleukin-2 to a patient who has cancer.The patient reports shortness of breath.The nurse assesses clear breath sounds,a respiratory rate of 22 breaths per minute,a heart rate of 80 beats per minute,an oxygen saturation of 93% on room air,and a blood pressure of 92/68 mm Hg.The nurse will perform which action?

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A patient is receiving interferon alpha (Roferon-A)subcutaneously.The patient experiences chills,fatigue,and malaise,and the nurse assesses a temperature of 102° F.The nurse will notify the provider of the temperature and will anticipate which order?

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A patient with cancer is receiving pegfilgrastim (Neulasta).The patient reports bone pain,which the nurse recognizes as

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A patient who is receiving cancer chemotherapy has been ordered to receive epoetin alfa (Procrit)150 units/kg 3 times weekly.The nurse reviews the patient's chart and notes a hemoglobin level of 10.1 g/dL.The nurse will perform which action?

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The nurse is teaching a young adult patient who will begin receiving interferon.Which statement by the patient indicates understanding of the teaching?

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A patient is receiving the erythropoietin-stimulating agent epoietin alfa (Procrit).Which assessment finding would cause the nurse to notify the patient's provider?

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A patient receiving interferon experiences confusion,somnolence,and aphasia.The nurse will perform which action?

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