A patient is receiving oprelvekin (Neumega) subcutaneously daily. Which laboratory value indicates to the nurse that the therapy is effective?
a. Hemoglobin 12 g/dL
b. Platelet level 55,000/mm3
c. Red blood cells 4.5 million/mm3
d. International normalized ratio (INR) 1.0
B
Oprelvekin is a thrombopoietic colony stimulating factor that increases production of platelets. It is only used until the patient's platelet level reaches 50,000/mm3.
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A client is brought to the emergency department (ED) after a motorcycle accident. The client has suffered a ruptured spleen. What is the immediate priority?
a. Emergent surgery to control bleeding b. Aggressive pain control c. Calling the family members d. Assessment of neurologic status
The older patient presents to the emergency department after stepping in front of a car at a crosswalk. After the patient has been triaged, the nurse interviews the patient. Which of the following comments would require follow-up by the nurse?
a. "I try to exercise, so I walk that block almost every day." b. "I waited and stepped out when the traffic sign said go." c. "The car was going too fast, the speed limit is 20." d. "I was so surprised; I didn't see or hear the car coming."
A client is discharged on beta blockers. Which skill is essential for the client's family to learn?
a. How to prepare a low-sodium diet b. Assessments to detect fluid retention c. How to monitor heart rate and blood pressure d. Early signs of changing level of consciousness
A nurse who has worked with a client diagnosed with generalized anxiety disorder (GAD) when he was an inpatient on the psychiatric unit sees the client in the waiting room of the outpatient psychiatric clinic
The client motions to the nurse to come over so he can tell the nurse how things have been going since he was discharged. While talking with the client, the nurse determines that the client's therapy has been effective when the client states which of the following? A) "I am still experiencing quite a bit of stress at home and at work; things are different at home than they were in the hospital." B) "When my mother-in-law comes over now, I go out to my workshop and work on one of my projects." C) "I'm still drinking coffee; I can't quit after drinking it all these years." D) "I've learned having a beer after I get home from work helps me relax."