A nurse recently administered filgrastim intravenously to a client who has cancer and is receiving cytotoxic chemotherapy. For which of the following data, discovered after the medication was administered, should the nurse file an incident report?<\/p>\n\n\n\n
A.
The client’s absolute neutrophil count was 2.500\/mm before the medication was administered<\/p>\n\n\n\n
B.
The nurse flushed the client’s (V line with dextrose 5% in water before and after the medication was administered<\/p>\n\n\n\n
C.
The medication vial sat at room temperature for 2 hr before it was administered<\/p>\n\n\n\n
D.
The client had chemotherapy 12 hr before the medication was administered<\/p>\n\n\n\n
The Correct Answer and Explanation is:<\/mark><\/strong><\/p>\n\n\n\n The correct answer is B. The nurse flushed the client\u2019s IV line with dextrose 5% in water before and after the medication was administered<\/strong>.<\/p>\n\n\n\n Filgrastim<\/strong> is a granulocyte colony-stimulating factor (G-CSF) used to increase the production of neutrophils, a type of white blood cell that helps the body fight infections, especially in clients undergoing chemotherapy. It is essential that filgrastim be administered according to protocol to avoid any adverse reactions or interactions.<\/p>\n\n\n\n Let\u2019s analyze the options:<\/p>\n\n\n\n The absolute neutrophil count (ANC) of 2,500\/mm\u00b3 is within the normal range. Filgrastim is typically administered to prevent or treat neutropenia (low neutrophil count), which can occur as a side effect of cytotoxic chemotherapy. However, an ANC of 2,500\/mm\u00b3 does not indicate neutropenia. While the medication may not have been necessary in this case, it is not considered an error significant enough to warrant an incident report. Thus, no report is required.<\/p>\n\n\n\n This is a significant error<\/strong>. Filgrastim should not be mixed with or administered alongside dextrose solutions. It should be given with either normal saline or as directed by the manufacturer’s guidelines. Administering it with dextrose can lead to improper medication delivery or degradation of the drug’s efficacy. This improper administration practice could result in the nurse filing an incident report, as it may compromise patient safety and the effectiveness of the treatment.<\/p>\n\n\n\n Filgrastim can remain stable at room temperature for a period before administration. According to the manufacturer’s recommendations, filgrastim can be kept at room temperature for up to 24 hours before use. Therefore, allowing the vial to sit at room temperature for 2 hours before administration does not violate any guidelines or safety protocols, and no incident report is needed in this case.<\/p>\n\n\n\n Filgrastim is usually given at least 24 hours after chemotherapy to minimize the risk of interactions and enhance its effectiveness in stimulating neutrophil production. While administering filgrastim too soon after chemotherapy is not optimal, a 12-hour window, though suboptimal, is unlikely to cause severe harm. Therefore, this scenario does not necessarily require an incident report, but closer attention to timing would be advisable in the future.<\/p>\n\n\n\n Option B<\/strong> represents an error in the administration process due to the use of dextrose 5% in water, which is incompatible with filgrastim. This error could compromise the effectiveness of the medication or pose a risk to the client, necessitating the filing of an incident report.<\/p>\n","protected":false},"excerpt":{"rendered":" A nurse recently administered filgrastim intravenously to a client who has cancer and is receiving cytotoxic chemotherapy. For which of the following data, discovered after the medication was administered, should the nurse file an incident report? A.The client’s absolute neutrophil count was 2.500\/mm before the medication was administered B.The nurse flushed the client’s (V line […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-137554","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/137554","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=137554"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/137554\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=137554"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=137554"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=137554"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}Explanation:<\/h3>\n\n\n\n
A. The client\u2019s absolute neutrophil count was 2,500\/mm\u00b3 before the medication was administered:<\/h4>\n\n\n\n
B. The nurse flushed the client\u2019s IV line with dextrose 5% in water before and after the medication was administered:<\/h4>\n\n\n\n
C. The medication vial sat at room temperature for 2 hr before it was administered:<\/h4>\n\n\n\n
D. The client had chemotherapy 12 hr before the medication was administered:<\/h4>\n\n\n\n
Conclusion:<\/h3>\n\n\n\n