You are the nurse caring for M.H., a 30-year-old male hospitalized on the oncology unit, as...

You are the nurse caring for M.H., a 30-year-old male hospitalized on the oncology unit, as he is undergoing chemotherapy treatment for non-Hodgkin’s lymphoma. His labs today indicate his WBC count is 1,000 (normal is 3,500-10,500). His oncologist has ordered filgrastim (Neupogen) 480 mcg SQ daily. M.H. asks you, “So what exactly does this medication do and why do I need it?”. He also tells you that it is his 3-year-old son’s birthday and his entire family was planning to come to the hospital tonight so M.H. could take part in the birthday celebration. How do you respond to M.H.’s medication questions and plans for the birthday celebration? (10 points)

Solutions

Expert Solution

Nurse will tell the patient that filgrastim (Neupogen) ,this drug is to increase his white blood cells count which have decreased because of chemotherapy.Chemo drugs also affect the normal cells in bone marrow, which can lower blood cell counts.

WBC help your body fight infection. A low white blood cell count (leukopenia) leaves your body more open to infection.

During the more thorough phases of treatment, people can often have serious side effects from chemo, so they might need to spend time in the hospital.

Regarding birthday celebration ,he should tell them to celebrate birthday at home and be in function through online video call as he may suffer fever, cough ,chest pain, joint pain, vomiting and hair loss with administration of this drugs .Even his WBC count is already less ,so he is vulnerable to get infection that will function drop his condition. so, he should avoid to be in close contact with so many family members gathering for celebration.

Nightingale answered 1 year ago

Next > < Previous

Related Solutions

Part 1. You are a nurse caring for a 26 year old male involved in a...

Part 1. You are a nurse caring for a 26 year old male involved in a burn incident that involves the left upper limb and the left lower limb. What do you think will be the problems of the patient during the acute and rehabilitative phase? What can be implemented? How will you be able to help him recover from the incident and to fully regain his optimum health and functioning? Formulate a plan of care for the patient (ADPIRE...

Clinical Assignment You are caring for a 68-year-old male who has been hospitalized for extreme constipation....

Clinical Assignment You are caring for a 68-year-old male who has been hospitalized for extreme constipation. He is having bowel movements now, but he has had a poor diet that contributed to his constipation problems. His wife died 9 months ago. He eats mostly canned soups and processed lunch meats on white bread because he does not cook much. He sometimes gets fast food, such as hamburgers or fried chicken. He likes meat but does not eat vegetables or fruits....

You are caring for a 72-year-old male patient admitted to a medical unit with an exacerbation...

You are caring for a 72-year-old male patient admitted to a medical unit with an exacerbation of chronic obstructive pulmonary disease. He is anemic, and you are transfusing him with 2 units of PRBCs. The second unit is almost completed when he complains of more shortness of breath and appears anxious. His pulse is 118 bpm, respirations 28 per minute, BP 104/60, and temperature 37.2° C (99° F). What might be the etiology of his respiratory distress? How will you...

1. You are a nurse in a medical–surgical unit in a hospital caring for a 27-year-old...

1. You are a nurse in a medical–surgical unit in a hospital caring for a 27-year-old professional football player who underwent surgery to repair a compound fracture of his femur. The surgery went smoothly and you are responsible for his postoperative care after he returns from PACU. (Learning Objectives #1 & #2) a. What is his skin’s role in preventing infection before surgery? b. Describe how you would expect his wound to heal. c. Indicate factors that could affect the...

You are the nurse caring for Mr. Jones, a 61-year-old male, in the Neurological Intensive Care...

You are the nurse caring for Mr. Jones, a 61-year-old male, in the Neurological Intensive Care Unit. Mr. Jones was found to have a benign brain tumor and is scheduled to go in for surgery to resect (remove) the tumor in a few days. Over the next few days you develop a therapeutic relationship with Mr. Jones. He tells you that he lives a very active life, engaged in multiple organizations, sports groups, and works as a coach for young...

You are a nurse caring for a 26-year-old male positive for Human Papillomavirus (HPV) and recently...

You are a nurse caring for a 26-year-old male positive for Human Papillomavirus (HPV) and recently diagnosed with head and neck cancer. Based on your knowledge of the pathophysiology of this disease process address the following: Thoroughly explain the epidemiology of the disease process. Examine each of the following three elements:) The cultural; 2.) The financial; and 3.) The environmental implications related to this disease process. Support all three with a scholarly source! What would 3-5 priority nursing interventions be...

You are a nurse caring for a 26-year-old male positive for Human Papillomavirus (HPV) and recently...

You are a nurse caring for a 26-year-old male positive for Human Papillomavirus (HPV) and recently diagnosed with head and neck cancer. Based on your knowledge of the pathophysiology of this disease process address the following: Thoroughly explain the epidemiology of the disease process. Examine each of the following three elements: 1) The cultural; 2.) The financial; and 3.) The environmental implications related to this disease process. Support all three with a scholarly source! What would 3-5 priority nursing interventions...

You are a nurse in a pediatric unit caring for a 10-year-old who has returned from...

You are a nurse in a pediatric unit caring for a 10-year-old who has returned from radiology after having his fractured femur radiographed. He is trying to be brave but is in significant pain. His initial dose of pain medication, while somewhat effective, does not make his pain tolerable. Which observations would signal the presence of severe pain in your patient? In developing your nursing diagnoses for his care plan, what pain factors should be identified? Outline other nursing diagnoses...

The nurse is caring for a frail, 84-year-old male patient in the hospital after surgery to...

The nurse is caring for a frail, 84-year-old male patient in the hospital after surgery to repair a bowel obstruction. The patient has a nasogastric (NG) tube to suction, through which all her scheduled drugs are given, oxygen at 1 liter/nasal cannula at night (home order), an indwelling urinary catheter, and a saline lock. The patient is weak and fatigued, has pain not relieved by IV opioids, and is reluctant to participate in any activities. 1. What is pathophysiology of...

Relationship of Hospitalized Elders’ Perceptions of Nurse Caring Behaviors, Type of Care Unit, Satisfaction With Nursing...

Relationship of Hospitalized Elders’ Perceptions of Nurse Caring Behaviors, Type of Care Unit, Satisfaction With Nursing Care, and Health Outcome of Functional Status Marlene Melchiorre Dey, PhD, APN, ACNP-BC, ANP-BC, Elite Medical Care 24. Which of these statements would be considered a statement regarding generalization of these results? a. The sample lacked cultural and racial diversity. b. The instrument CBI-E had not been tested previously in a hospital setting. c. Elder care is complex, a specialty that requires specialized education....

Subjects