A woman has been using acupuncture to treat the nausea and vomiting caused by the side effects of chemotherapy for breast cancer. Which conditions would cause the nurse to recommend against further use of acupuncture? (Select all that apply.)
a. Lymphedema
b. Bleeding tendencies
c. Low white blood cell count
d. Elevated serum calcium
e. High platelet count
ANS: A, B, C
Acupuncture could be unsafe for the client if there is poor drainage of the extremity with lymphedema or if there was a bleeding tendency and low white blood cell count. Coagulation would be compromised with a bleeding disorder, and the risk of infection would be high with the use of needles. An elevated serum calcium and high platelet count would not have any contraindication for acupuncture.
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A reviewer performs a critical appraisal of a study and notes that the researcher conducted a previous pilot study. The reviewer will
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