A Client Is to Receive Filgrastim (Neupogen) as a Granulocyte-Stimulating

question 7

Multiple Choice

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:

• A) severe myelosuppression.
• B) a history of hypertension.
• C) received cytotoxic agents less than 24 hours before.
• D) a neutrophil count lower than 500.

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Definitions:

Relaxin

Polypeptide hormone secreted by the corpus luteum and placenta during pregnancy; facilitates the birth process by causing a softening and lengthening of the pubic symphysis and cervix.

FSH Secretion

The release of Follicle Stimulating Hormone, a gonadotropin involved in the regulation of reproductive processes, such as growth of ovarian follicles in women and spermatogenesis in men.

Connective Tissue

Tissue in the body designed to connect, support, or isolate various organs and tissue types.

Adrenal Cortex

The outer part of the adrenal gland that produces steroid hormones which regulate metabolism, immune response, and salt and water balance.