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Home Q & A Board Biology-Related Homework Help Medicine
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mecd1991 mecd1991
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6 years ago
A patient with lung cancer receives filgrastim (Neupogen) after chemotherapy to reduce neutropenia. The patient reports a moderate degree of bone pain. What will the nurse do?
 
  a. Obtain an order to administer acetaminophen.
  b. Request an order for a complete blood count (CBC).
  c. Request an order to reduce the dose of filgrastim.
  d. Suspect metastasis of the cancer to the bone.
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#1
6 years ago
ANS: A
Bone pain occurs in about 25 of patients receiving filgrastim. It can be treated with a nonopioid analgesic and, if necessary, an opioid analgesic. Leukocytosis can occur, but bone pain is not a symptom of this, so a CBC is not indicated. Bone pain is not an indication for reducing the dose of filgrastim. Because moderate bone pain is a common adverse effect, metastasis to the bone is less likely.
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