A Client Is Taking G-CSF, or Filgrastim (Neupogen)

question 9

Multiple Choice

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

• A) Stool softeners and a high-fiber diet for constipation
• B) High fluid intake and vitamin C for alkaline urine
• C) Acetaminophen (Tylenol) and assessment for fever
• D) Nonnarcotic analgesia and comfort measures for pain

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Definitions:

Genetically Female Fetus

A fetus that has two X chromosomes, determining female sex characteristics and reproductive anatomy development.

Testosterone

A steroid hormone that plays a key role in the development of male reproductive tissues as well as promoting secondary sexual characteristics such as increased muscle and bone mass, and the growth of body hair.

Intersexed Individuals

Persons born with reproductive or sexual anatomy that doesn’t fit typical definitions of male or female.

Surgery

A medical specialty involving manual and operative procedures to treat diseases, injuries, or deformities.