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johnnyappleseed johnnyappleseed
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A patient who has received chemotherapy has a steadily decreasing white blood cell count. The chemotherapy will end on Tuesday afternoon. The oncologist has mentioned that a colony-stimulating factor will be started soon. The nurse knows that the appropriate time to start this medication is when?


▸ While the patient is still receiving chemotherapy

▸ Two hours after the chemotherapy ends

▸ Wednesday afternoon, 24 hours after the chemotherapy ends

▸ In 2 to 4 days, after the white blood cells have reached their nadir
Textbook 

Pharmacology and the Nursing Process


Edition: 9th
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eggr0lleggr0ll
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Wednesday afternoon, 24 hours after the chemotherapy ends

Drugs that are given to enhance the activity of bone marrow cells interfere directly with the action of myelosuppressive cancer therapy. For this reason, therapy with colony-stimulating factors begins 24 hours after the chemotherapy has been completed.
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