A nurse who works in an outpatient chemotherapy unit has received an order to administer filgrastim (Neupogen) to a client who received chemotherapy this morning. The client's white blood cell count is dropping rapidly. The nurse asks the client to return to the unit tomorrow for the filgrastim. What is the rationale for the nurse's request?

Question

Quizplus · Accepted Answer

Rationale 1: The white cell count will not increase rapidly, and it might not increase at all.
Rationale 2: Because antineoplastic drugs and CSFs produce opposite effects, filgrastim is not administered until at least 24 hours after a chemotherapy session.
Rationale 3: There is no increase in the risk of liver damage if these two drugs are given closely together.
Rationale 4: Both drugs have adverse reactions, but they do not potentiate each other.

A Nurse Who Works in an Outpatient Chemotherapy Unit Has