A client is receiving chemotherapy as adjuvant therapy in the management of testicular cancer. The nurse also notes that the client is ordered filgrastim (Neupogen) and knows that the client is at greatest risk for which assessment finding?
A) Increased bruising
B) Fever
C) Pale color
D) Decreased energy
B
Feedback:
Filgrastim (Neupogen) is used in the management of clients with low WBC count, which places them at greatest risk for infection. Symptom of fever would alert the nurse to infection. Increased bruising would be significant with low platelet count. Pale color and decreased energy are associated with lower RBC count.
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When taking care of a patient newly diagnosed with panic attacks, the nurse knows that which sign and/or symptom correlates with Peplau's panic level of anxiety?
1. Delusions and withdrawal into self 2. Restlessness and increased motivation 3. Feelings of dread and hyperventilation 4. Increased heart rate and physical discomfort
The nurse is evaluating teaching provided to a client with migraine headaches. Which client statement indicates that teaching has been effective?
1. "I can drink colas without problem." 2. "I should avoid eating red meat." 3. "I should avoid red wine." 4. "I should eat a lot of aged cheese."
You need to assess a patient for biologic gender. Which of the following factors would be most important to assess?
A) Temperament B) Hair distribution C) Occupation D) Ability to love
Which observation gives the best indication that an adolescent is able to effectively balance relaxation and work?
a. After being reminded to clean his bedroom the child goes back to playing computer games. b. When found sitting quietly in the living room the child indicates to parents that the behavior is a way to relax. c. The child enjoys several group sports and delivers newspapers before school for 25 families in the neighborhood. d. The child seems to enjoy participating in activities such as cleaning and learning complicated software on the family computer.