P.S., a 38-year-old surveyor, is receiving a second round of chemotherapy as part of treatment for nonHodgkin’s lymphoma. The oncologist is monitoring for signs of bone marrow suppression of the...


P.S., a 38-year-old surveyor, is receiving a second round of chemotherapy as part of treatment for nonHodgkin’s lymphoma. The oncologist is monitoring for signs of bone marrow suppression of the various blood cell components. 1. What symptoms would the nurse expect to see if P.S. had diminished production of platelets? White blood cells? Explain your answers. One week after this round of chemotherapy, P.S.’s white blood cell count is 0.8 cells/mm3 (pretherapy value was 6200 cells/mm3), and his absolute neutrophil count is 450 cells/mm3 (pretherapy value was 1600 cells/mm3). The oncologist orders strict neutropenic precautions and filgrastrim (Neupogen), 480 mcg, subcut daily. 2. Explain the purpose of the order for the filgrastim.The nurse will need to assess P.S. for what conditions before beginning the filgrastim? 3. The nurse notices a woman with a baby about to enter P.S.’s room. The baby is fussy, and the woman is wiping the baby’s nose after the baby sneezed. What does the nurse need to do at this time? 4. P.S.. asks the nurse, “How long will I need to take these injections? I hate having to have another shot!” What is the answer to his question?



May 18, 2022
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