Nursing Care for a Client with Leukemia

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Questions and Answers

What is the most appropriate action for the nurse to take when a client with leukemia is worried about functioning as a parent to four small children?

  • Assist the client to make 'sick day' plans for household responsibilities. (correct)
  • Help the client inform friends and family that they will have to help out.
  • Refer the client to a social worker in order to investigate respite child care.
  • Determine if there are family members or friends who can help the client.

In a client treated for a deep vein thrombus with a platelet count of 42,000/mm3, which drug should the nurse check on the medication list?

  • Unfractionated heparin
  • Enoxaparin (Lovenox)
  • Salicylates (aspirin) (correct)
  • Warfarin (Coumadin)

What is the most appropriate action for the nurse after discovering a lesion on a client's oral cavity?

  • Teach the client about cobalamin therapy. (correct)
  • Place the client in protective precautions.
  • Encourage the client to have genetic testing.
  • Instruct the client on high-fiber foods.

A nurse working with clients with sickle cell disease teaches about self-management to prevent exacerbations and sickle cell crises. What should the nurse emphasize?

<p>Importance of staying hydrated (C)</p> Signup and view all the answers

What teaching topic is a priority for a young male client with lymphoma about to begin treatment?

<p>Sperm banking (A)</p> Signup and view all the answers

What test result would a nurse correlate to a humerus fracture sustained when picking up the family cat?

<p>Bence-Jones protein in urine (B)</p> Signup and view all the answers

In a client with worsening bone density in multiple myeloma, what drug would the nurse plan to teach about?

<p>Zoledronic acid (Zometa) (B)</p> Signup and view all the answers

In an autoimmune idiopathic thrombocytopenic purpura (ITP) client with a saturated abdominal dressing post-splenectomy, what action is most important?

<p>Removing the dressing and assessing the surgical site (D)</p> Signup and view all the answers

What should be the priority action if a client has a platelet count of 9000/mm3 and is found confused and mumbling?

<p>Administering a blood transfusion (D)</p> Signup and view all the answers

What is the nurse's priority action when the family of a neutropenic client reports the client 'is not acting right'?

<p>Assess the client for infection. (A)</p> Signup and view all the answers

To best assist a client about to receive a bone marrow transplant in coping with the long recovery period, what should the nurse do?

<p>Help the client find things to hope for each day of recovery. (C)</p> Signup and view all the answers

What is the best explanation by the nurse instructor regarding graft-versus-host disease?

<p>&quot;The donor's cells are actually attacking the client's cells.&quot; (B)</p> Signup and view all the answers

Which action by a client with leukemia best indicates that an important goal for the problem of fatigue has been met?

<p>Helping plan a daily activity schedule. (D)</p> Signup and view all the answers

When caring for a neutropenic client, what should the nurse prioritize when the family reports concerning changes in behavior?

<p>Monitor the client's temperature frequently. (A)</p> Signup and view all the answers

A patient undergoing evaluation for platelet count management should be informed that a low platelet count can result in:

<p>Increased risk of bleeding. (B)</p> Signup and view all the answers

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