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</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</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</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)</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</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</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.</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.</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;</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.</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.</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.</p> Signup and view all the answers

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