15 Questions
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.
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?
Salicylates (aspirin)
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.
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?
Importance of staying hydrated
What teaching topic is a priority for a young male client with lymphoma about to begin treatment?
Sperm banking
What test result would a nurse correlate to a humerus fracture sustained when picking up the family cat?
Bence-Jones protein in urine
In a client with worsening bone density in multiple myeloma, what drug would the nurse plan to teach about?
Zoledronic acid (Zometa)
In an autoimmune idiopathic thrombocytopenic purpura (ITP) client with a saturated abdominal dressing post-splenectomy, what action is most important?
Removing the dressing and assessing the surgical site
What should be the priority action if a client has a platelet count of 9000/mm3 and is found confused and mumbling?
Administering a blood transfusion
What is the nurse's priority action when the family of a neutropenic client reports the client 'is not acting right'?
Assess the client for infection.
To best assist a client about to receive a bone marrow transplant in coping with the long recovery period, what should the nurse do?
Help the client find things to hope for each day of recovery.
What is the best explanation by the nurse instructor regarding graft-versus-host disease?
"The donor's cells are actually attacking the client's cells."
Which action by a client with leukemia best indicates that an important goal for the problem of fatigue has been met?
Helping plan a daily activity schedule.
When caring for a neutropenic client, what should the nurse prioritize when the family reports concerning changes in behavior?
Monitor the client's temperature frequently.
A patient undergoing evaluation for platelet count management should be informed that a low platelet count can result in:
Increased risk of bleeding.
Learn about nursing interventions for a client with leukemia who is a parent to small children. Identify the most appropriate action by the nurse in providing support and assistance to the client.
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