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Chapter 23: Problem 76

A client with leukemia is neutropenic. Which of the following drugs would the nurse expect the physician to order to treat this condition? ? A. Epoetin (Procrit) ? B. Filgrastim (Neupogen) ? C. Oprelvekin (Neumega) ? D. Porfimer sodium (Photofrin)

Short Answer

Expert verified
Answer: B. Filgrastim (Neupogen)

Step by step solution

01

Identifying the medical condition

Neutropenia is a condition characterized by an abnormally low number of neutrophils, a type of white blood cell that plays an essential role in the immune system to fight off bacterial and fungal infections. Patients with leukemia are at risk of developing neutropenia.
02

Understanding the drugs and their mechanism of action

To determine the correct choice, let's briefly review the drugs and their mechanisms of action: A. Epoetin (Procrit): A drug that stimulates red blood cell production. It is commonly used to treat anemia. B. Filgrastim (Neupogen): A granulocyte colony-stimulating factor (G-CSF) that stimulates the bone marrow to produce more white blood cells, particularly neutrophils. C. Oprelvekin (Neumega): A drug that stimulates the production of platelets, which are responsible for blood clotting. D. Porfimer sodium (Photofrin): A photosensitizing agent used in photodynamic therapy to treat certain types of cancer. It is not primarily focused on treating neutropenia.
03

Identifying the drug that treats neutropenia

Since neutropenia is characterized by a low number of neutrophils, the most appropriate drug would be the one that focuses on increasing the production of white blood cells, particularly neutrophils. In the given options, Filgrastim (Neupogen), as a granulocyte colony-stimulating factor, is the drug explicitly designed to treat neutropenia by stimulating the production of white blood cells, including neutrophils.
04

Conclusion

Based on the analysis, the nurse should expect the physician to order Filgrastim (Neupogen) to treat the neutropenic condition of the leukemia patient. The correct answer is B. Filgrastim (Neupogen).

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