A patient, age 39, receiving chemotherapy for treatment of her cancer has a white blood cell count of 1600/mm3. This finding requires nursing interventions to provide which of the following?
a. Adequate fluid intake
b. Protection from falls
c. Protection against infection
d. Frequent small nutritious snacks
ANS: C
The nurse needs to protect the patient against pathogens, monitor the patient for signs of infections, and respond aggressively if an infection occurs.
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A nurse is performing a shift assessment on an elderly patient who is recovering after surgery for a hip fracture
The nurse notes that the patient is complaining of chest pain, has an increased heart rate, and increased respiratory rate. The nurse further notes that the patient is febrile and hypoxic, coughing, and producing large amounts of thick, white sputum. The nurse recognizes that this is a medical emergency and calls for assistance, recognizing that this patient is likely demonstrating symptoms of what complication? A) Avascular necrosis of bone B) Compartment syndrome C) Fat embolism syndrome D) Complex regional pain syndrome
Identify the intervention by the nurse that best maintains a safe hospital environment for a client diagnosed with Korsakoff's syndrome who is hospitalized because of several falls due to an un-steady gait
a. Reinforcing activity restrictions by re-peating instructions frequently b. Placing the client in a quiet, nonstimulat-ing room away from the busy nurses' sta-tion c. Providing assistance as needed, including walkers or cane, when the client ambulates d. Limiting the client's visitors to immediate family only
Which statement describes one of Rubin's phases of maternal adaptation?
a. The first phase is taking in, when the woman assumes her new maternal role. b. The second phase is taking hold, when the woman asserts her independence. c. The third phase is letting go, when the mother accepts dependence on others. d. The fourth phase is attainment, when the mother has learned mothering behaviors.
Autoregulation is defined as the intrinsic ability of an organ to maintain a constant blood flow despite changes in perfusion pressure. Which of the following best describes this process during hypovolemia and hypotension?
a. Sympathetic system’s release cathecolamines to increase contractility and restore tissue perfussion b. Nephron secrete vasodilatory substance to decrease renal perfussion c. Autonomic dysregulation produce peripheral vasodilation and ischemia d. None of the statements apply?