Question 1

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

Accepted Answer

Rigors are treated with acetaminophen and meperidine.

Question 2

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

Accepted Answer

Weight loss and signs of infection as well as bleeding are possible side effects of treatment with a biologic response modifier.

Question 3

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

Epoetin Alfa should cause the client to experience increase hematocrit and decreased plasma volume.

Question 4

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

Lithium (Eskalith) may increase the effects of sargramostim.

Question 5

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

Taking Leukine along with lithium will result in an increased effect of the Leukine.

Question 6

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

Accepted Answer

Headaches and increased blood pressure occur as a result of the rising red blood cell count (Hct) and increased pressure in the arterial system when the client receives erythropoietin.

Question 7

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

CSFs stimulate white blood cell production.

Question 8

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

Hypertension is an expected side effect of receiving the medication.

Question 9

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

Accepted Answer

Taking medications before bedtime encourages sleep and avoids daytime drowsiness.

Question 10

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

Signs and symptoms of excessive fluid retention include peripheral edema and exertional dyspnea.

Question 11

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

Bone pain is the most common side effect of the granulocyte colony-stimulating factors.

Question 12

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

The medication should not be given within 24 hours of receiving chemotherapy agents.

Quiz 39: Biologic Response Modifiers

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

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

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.

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?

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 _.

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

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

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?

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

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:

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

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: