A client receiving chemotherapy for cancer has a hemoglobin level of 9.7 g/dL. Which of the following should the nurse anticipate as treatment for this client?
1. Place client in reverse isolation.
2. Administer antibiotics as prescribed.
3. Administer epoetin alfa as prescribed.
4. Administer filgrastim as prescribed.
3
Treatment for moderate anemia in the client receiving chemotherapy for cancer would include the administration of epoetin alfa as prescribed. This medication elevates hemoglobin levels and improves the quality of life for clients. The other choices would be appropriate for the client diagnosed with neutropenia and not anemia.
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A woman who recently had a miscarriage is in the clinic for follow-up. She sees the diagnosis "spontaneous abortion" on her chart and becomes visibly upset, stating, "I did not have an abortion!" Which response by the nurse is best?
A. "Don't be upset; that is just a medical term used commonly." B. "I can come back and talk to you when you are not so upset." C. "I see you are upset. Does it help to know this means miscarriage?" D. "No one is accusing you of having an abortion."
The nurse is planning care for a middle-aged adult. What should the nurse identify as a major risk factor for this client?
1. Weight loss 2. Decreased physical activity 3. Multiple sex partners 4. Vitamin deficiency
The nurse notes that the Body Mass Index (BMI) of a 2-year-old is 94%. This number indicates that the child is:
a. Underweight b. At a healthy weight level c. Overweight d. Obese
A neonate is born with anencephaly. The prognosis for a neonate with this condition is:
1. A normal outcome. 2. A high risk for hydrocephaly. 3. Can be death. 4. Mental handicap.