The registered nurse is teaching a nursing student about the importance of observing for bone marrow suppression during chemotherapy. Select the person who displays bone marrow suppression.
A. Client with hemoglobin of 7.4 and hematocrit of 21.8
B. Client with diarrhea and potassium level of 2.9 mEq/L
C. Client with 250,000 platelets
D. Client with 5000 white blood cells/mm3
Answer: A. Client with hemoglobin of 7.4 and hematocrit of 21.8
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A 53-year-old woman complains of night sweats and mood swings. The nurse recognizes that these symptoms most likely relate to which condition?
a. Menopause b. Weight problems c. Dietary problems d. Thyroid problems
A nurse always reviewed the medications taken by elderly clients on each home visit. Which of the following best explains the rationale for the nurse's action? (Select all that apply.)
a. Age-related changes and polypharmacy make elderly clients vulnerable to drug interactions and dangerous adverse reactions. b. Elderly clients are known to sue if medications taken do not make them feel better, and lawsuits are to be avoided, if possible. c. Folk or herbal medicines are often the same as the generic medications prescribed by health care providers, so elderly often have overdoses. d. Older adults are known to consume many over-the-counter medications, as well as folk or herbal remedies. e. The elderly are known to be particularly noncompliant with pharmaceutical prescriptions. f. With the high prevalence of chronic diseases, elderly clients are taking a large number of medications.
As breakfast trays are served, a Catholic patient asks the nurse to take it away, because a priest is coming to administer Communion. The response by the nurse should be:
1. "You really need this nutrition. I have to leave it for you. Regardless, you must eat." 2. "I will leave the tray in the kitchen and you may call me to bring it back when it is time." 3. "You must eat your breakfast before it gets cold. If the priest comes, tell him to wait for you." 4. "Communion is only another piece of bread, so it will go just fine with your eggs."
A client in the clinic complaining of abdominal pain tells the nurse that the food eaten last night must have been tainted. What action would the nurse take after the client states that the food was tainted?
1. Advise the client to take an antacid. 2. Ask open-ended questions to further assess. 3. Call an ambulance before assessing further. 4. Tell the client the physician does not need to assess the client.