Difficulty: Medium
Average Score: 84%
Simulated
A nurse is reviewing the medical record of a client who just received a dose of IV filgrastim. The client has cancer and is receiving cytotoxic chemotherapy. For which of the following findings should the nurse complete an incident report?
Correct answer
A
Rationale
The correct answer is A because IV filgrastim should be stored in the refrigerator to maintain its stability and efficacy. Allowing the vial to be out of the refrigerator for 2 hours could compromise the medication's integrity and potentially impact the client's response to treatment. Completing an incident report is necessary to address this medication error and prevent similar occurrences in the future.
Choices B, C, and D are incorrect:
B: The client having a decreased neutrophil count before medication administration is a baseline assessment and does not indicate an error in medication administration.
C: The client feeling nauseous after medication administration could be a side effect of the medication and does not necessarily warrant an incident report unless it persists or is severe.
D: The client receiving chemotherapy 12 hours before the medication was administered does not pose a risk to the client related to the administration of IV filgrastim and therefore does not require an incident report.
Choices B, C, and D are incorrect:
B: The client having a decreased neutrophil count before medication administration is a baseline assessment and does not indicate an error in medication administration.
C: The client feeling nauseous after medication administration could be a side effect of the medication and does not necessarily warrant an incident report unless it persists or is severe.
D: The client receiving chemotherapy 12 hours before the medication was administered does not pose a risk to the client related to the administration of IV filgrastim and therefore does not require an incident report.