The patient who is taking radiation treatments has a platelet count of 100,000/mm3 . The nurse should be alert for:
a. significantly decreased blood pressure.
b. hematuria.
c. constipation.
d. confusion and disorientation.
B
Abnormal bleeding is associated with a low platelet count since platelets are involved in the clot-ting process. Hematuria may result from bleeding within the urinary system. Blood pressure, constipation, and confusion or disorientation is not directly related to a low platelet count.
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An infant with gastroesophageal reflux disease (GERD) is being discharged home. Which of the following is the priority topic the nurse plans to include in the teaching plan?
A. Managing a multi-medication regime at home B. Positioning the infant during feeding and sleeping C. Type of formula to best prevent episode of GERD D. When to return for surgical correction of the bowel
A student states, "It seems like helper T cells do a lot more than just 'help' the cellular immunity process." Which of the following responses listed below best conveys an aspect of the role of CD4+ helper T cells in immunity?
A) "Without helper T cells, no antigens would be presented." B) "Helper T cells play a major role in stimulating and regulating the whole process." C) "Without helper T cells, the wrong antibodies would end up being produced." D) "Helper T cells are key to the hematopoiesis that produces all the components of the immune system."
A patient is receiving vincristine (Oncovin) for cancer treatment. Which assessment finding should indicate to the nurse that the patient is experiencing a toxic reaction?
1. pain and motor weakness 2. hypotension 3. cardiac dysrhythmias 4. stomatitis and alopecia
A nurse assessing a 6 year old with cardiomyopathy would anticipate which of the following signs in his assessment? Select all that apply
1. A murmur with a thrill 2. Fatigue when eating 3. Dysrhythmia after playing with toy cars 4. Sweating while sitting in bed watching cartoons 5. Dizziness when standing at the bedside