You are caring for a client with breast cancer who has been receiving chemotherapy. The client was admitted with an infected lesion on her left leg. The physician has ordered Neupogen. What will Neupogen do for this client?
A) Increase platelet count
B) Boost the immune system
C) Increase white blood cell production
D) Boost red blood cell production
B, C
Feedback:
Bone marrow transplantation or administration of drugs that boost white blood cell production, such as filgrastim (Neupogen), may help immunosuppressed clients. Neupogen does not increase the platelet count or boost red blood cell production.
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Using Freud's personality theory, the nurse recognizes a strong ego when a patient:
a. laughs at himself for being foolish. b. continually boasts of his accomplishments. c. apologizes continually. d. insists that the TV channel stay tuned to CNN.
The nurse is instructing a female client on the proper method for a midstream clean-catch urine specimen. The nurse should stress the importance of:
1. wiping the meatus with an antiseptic towelette from front to back. 2. using antibacterial foam to cleanse the labia and meatus. 3. using an iodine solution to cleanse the outer labia. 4. cleansing the meatus in a circular motion with an antiseptic towelette.
An experienced nurse is working with a new graduate. The experienced nurse suspects that the multiparous client is going to deliver precipitously, while the new graduate is unaware that the labor is proceeding rapidly
One reason for this difference in interpretation of the client situation is because experienced nurses are able to view situations more holistically because they: A. Are more aware of subtle cues that indicate client changes. B. Need less supervision in managing complex clinical situations. C. Spend less time providing direct client care. D. Know more about the pathophysiology of diseases.
Which of the following sources might nurses use to improve their cultural competence? (Select all that apply.)
A) Discuss cultural norms with clients' families. B) Explore the resources in Online Learning Activities. C) Read journals and other references. D) Utilize organizations listed at the end of chapters. E) Write teaching materials in prominent local languages.