NUR 257 Final Exam Questions and Correct
Answers with Complete Solutions | 2025-2026 |
Galen College of Nursing
Filgrastim action - ANSWERS -stimulates WBCs (specifically neutrophils)
Filgrastim pharmacokinetics - ANSWERS IV or SubQ
Filgrastim contraindications/cautions - ANSWERS -allergies to E.coli
Filgrastim nursing considerations - ANSWERS -obtain baseline CBC, monitor
every 3rd day until neutrophils (ANC) >1000 for 3 consecutive CBCs
-glomerular nephritis may occur, notify MD may need to decrease dose or D/C
-monitor for upper abdominal/shoulder pain for enlarged spleen/rupture
-monitor for capillary leak syndrome (hypotension, hypoalbuminemia, edema, and
hemoconcentration)
-watch for ARDS
-watch for cutaneous vasculitis (purpura, erythema) notify MD
Filgrastim patient teaching - ANSWERS -latex allergy=no prefilled syringes
-report purpura or erythema; left upper abdominal or shoulder pain
-seek immediate care if swelling, decreased urination, SOB, abdominal
swelling/fullness, dizziness, or fatigue occurs
-repeat blood tests
, Filgrastim common S/E - ANSWERS -thrombocytopenia
Epoetin Alpha action - ANSWERS -stimulates RBCs
-tx. of anemia
Epoetin Alpha pharmacokinetics - ANSWERS IV and subQ
Epoetin Alpha contraindications/cautions - ANSWERS -hypersensitivity to
albumin
-uncontrolled HTN
Epoetin Alpha nursing considerations - ANSWERS -renal disease=severe CV
events when Hb > 11 = additional doses of heparin
-evaluate iron status
-monitor BP
-monitor Hb weekly
-if therapy >12 weeks & ineffective, it probably wont work
-DVT prophylaxis
Epoetin Alpha patient teaching - ANSWERS -pain/discomfort in limbs and
pelvis, feeling cold, and sweating may occur after injection
-avoid heavy machinery at start of therapy (due to risk of seizures from hematocrit
increase
-monitor BP at home; diet for BP management
Answers with Complete Solutions | 2025-2026 |
Galen College of Nursing
Filgrastim action - ANSWERS -stimulates WBCs (specifically neutrophils)
Filgrastim pharmacokinetics - ANSWERS IV or SubQ
Filgrastim contraindications/cautions - ANSWERS -allergies to E.coli
Filgrastim nursing considerations - ANSWERS -obtain baseline CBC, monitor
every 3rd day until neutrophils (ANC) >1000 for 3 consecutive CBCs
-glomerular nephritis may occur, notify MD may need to decrease dose or D/C
-monitor for upper abdominal/shoulder pain for enlarged spleen/rupture
-monitor for capillary leak syndrome (hypotension, hypoalbuminemia, edema, and
hemoconcentration)
-watch for ARDS
-watch for cutaneous vasculitis (purpura, erythema) notify MD
Filgrastim patient teaching - ANSWERS -latex allergy=no prefilled syringes
-report purpura or erythema; left upper abdominal or shoulder pain
-seek immediate care if swelling, decreased urination, SOB, abdominal
swelling/fullness, dizziness, or fatigue occurs
-repeat blood tests
, Filgrastim common S/E - ANSWERS -thrombocytopenia
Epoetin Alpha action - ANSWERS -stimulates RBCs
-tx. of anemia
Epoetin Alpha pharmacokinetics - ANSWERS IV and subQ
Epoetin Alpha contraindications/cautions - ANSWERS -hypersensitivity to
albumin
-uncontrolled HTN
Epoetin Alpha nursing considerations - ANSWERS -renal disease=severe CV
events when Hb > 11 = additional doses of heparin
-evaluate iron status
-monitor BP
-monitor Hb weekly
-if therapy >12 weeks & ineffective, it probably wont work
-DVT prophylaxis
Epoetin Alpha patient teaching - ANSWERS -pain/discomfort in limbs and
pelvis, feeling cold, and sweating may occur after injection
-avoid heavy machinery at start of therapy (due to risk of seizures from hematocrit
increase
-monitor BP at home; diet for BP management
