A patient with cancer is receiving altretamine (Hexalen). Which of the following laboratory stud-ies should be assessed to detect anticipated adverse drug effects?
a. Liver function studies
b. Renal function studies
c. Absolute neutrophil count
d. Serum electrolytes and glucose
ANS: C
Alkylating drugs cause bone marrow suppression; therefore careful attention must be paid to monitoring neutrophil counts.
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A 20-month-old child is experiencing diarrhea. When planning the child's care, the nurse should prioritize assessments related to what health problem?
A) Electrolyte deficiencies B) Anorectal bleeding C) Anal fissures D) Nausea
The theory of aging that suggests the older person who is more active socially is more likely to adjust well to aging is the:
a. activity theory. b. autoimmunity theory. c. wear-and-tear theory. d. disengagement theory.
A client comes into the Emergency Department with a non–life-threatening wound to the hand that will require stitches. The department is quite busy with other clients, their families, and other people in the waiting room. The best way for the nurse to conduct an interview with this client is to:
A) Have the client wait until the department quiets down, since the wound is not too serious. B) Tell the client to wait in the waiting room and fill out the paperwork. C) Make sure the client sits with her back to the rest of the room so as not to be heard by passersby. D) Draw curtains around the client and nurse to provide as much privacy as possible.
The registered nurse (RN) is caring for a client with severe cardiac disease. While caring for the client, the client states, "If anything should happen to me, please make sure that the doctors do not try to push on my chest and revive me
" The most appropriate nursing action is to: 1. Tell the client that the family must agree with the request. 2. Plan a client conference with the nursing staff to share the client's request. 3. Tell the client that it is necessary to notify the physician of the client's request. 4. Tell the client that this procedure cannot legally be refused by a client if the phy-sician believes that it is necessary to save the client's life.