When assessing a client for acute myeloid leukemia (AML), the nurse would include which diagnosis in the plan of care to minimize the risk of complications?
1. Risk for Infection
2. Imbalanced Nutrition
3. Fluid Volume Excess
4. Ineffective Thermoregulation
1. Risk for Infection
Rationale:
AML results in neutropenia (decreased neutrophils = risk of infection) and thrombocytopenia (decreased platelets which leads to increased risk of bleeding). Therefore, actions to minimize these risks include caution when moving or assisting the client to move, as well as strict hand hygiene to prevent possible cross-contamination. Weight loss is a symptom of chronic myeloid leukemia (CML), not AML. Therefore, dietary needs are not increased with AML. Restriction of fluids and salt are not needed. The client with AML does not have a problem with fluid shifts or edema that would require these restrictions. Fluids are encouraged to remove wastes that occur with chemotherapy treatment and cellular breakdown. Heat intolerance is a symptom of CML, not AML. CML has heat intolerance due to hypermetabolism state present with the condition.
You might also like to view...
A nurse is explaining how the humoral and cellular immune responses should be seen as interacting parts of the broader immune system rather than as independent and unrelated processes. What aspect of immune function best demonstrates this?
A) The movement of B cells in and out of lymph nodes B) The interactions that occur between T cells and B cells C) The differentiation between different types of T cells D) The universal role of the complement system
An abnormal condition in which a person must sit or stand to breathe deeply or comfortably is known as ___________________
Fill in the blank(s) with correct word
A nurse recognizes the difference between an opioid and nonopioid analgesic. Which of the following would the nurse identify as nonopioid analgesics? Select all that apply
A) Morphine B) Codeine C) Acetaminophen D) Oxycodone E) Diflunisal
Disinfecting showers/tubs between baths is part of the nursing assistant's job responsibilities
Indicate whether the statement is true or false.