medium · NCLEX-RN pharmacology
The RN is monitoring a client receiving chimeric antigen receptor (CAR) T-cell therapy. The client's temperature has risen from 37.0°C to 38.5°C in two hours.
Which interpretation by the nurse is most accurate based on the clinical judgment cycle?
- The nurse should administer acetaminophen and reassess in four hours.
- The fever is likely due to an underlying neutropenic infection and requires immediate antibiotics.
- The finding represents a potential onset of cytokine release syndrome (CRS) requiring escalation.
- This is an expected inflammatory response to cell lysis and requires only routine monitoring.
Sign up free to see the explanation and track your rank →
More NCLEX-RN pharmacology practice
- What is the most appropriate nursing action?
- Which action is the priority?
- What is the nurse's first action?
- What is the most appropriate action?
- What is the nurse's first action?
- The nurse is performing a medication reconciliation for a ne… — What is the primary purpos
- Which laboratory value requires the nurse to hold the medication and notify the healthcare
- Which action should the nurse take first?