A nurse is caring for a patient receiving allopurinol (Zyloprim) for treatment of gout. Which of the following would indicate bone marrow suppression in this patient?
A) Hyperuricemia
B) Increased erythrocyte sedimentation rate
C) Elevated serum creatinine
D) Decreased platelets
Ans: D
Feedback: Thrombocytopenia, which decreases platelets, occurs in bone marrow suppression. Hyperuricemia occurs in gout but is not caused by bone marrow suppression. Increased sedimentation rate may occur from inflammation associated with gout, but it is not related to bone marrow suppression. An elevated serum creatinine level may indicate renal damage associated with systemic lupus erythematosus.
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During the admission assessment of a new client, which of the following factors should alert the nurse to possibility that the client is depressed and further evaluation is necessary? Standard Text: Select all that apply
1. The client reports a history of rheumatoid arthritis and type 2 diabetes, which are both well controlled. 2. The client has been late for work several times due to oversleeping during the last month. 3. The client reports a family history of depression. 4. The client has had difficulty falling asleep for the last 7 days. 5. The client reports a generalized feeling of muscle aches that have occurred over the last 3 weeks.
A patient is being evaluated for severe burns to the torso and upper extremities, with edema around the burned areas. How should the nurse describe the underlying cause for this assessment finding?
1. inability of the damaged capillaries to maintain fluids in the cell walls 2. reduced vascular permeability in the burned area 3. decreased osmotic pressure in the burned tissue 4. increased fluids in the extracellular compartment
In developing an end-of-life plan of care for the client, the nurse identifies which of the following hygiene goals as appropriate?
A) Involve the client in 30% of her bath daily. B) Involve family in hygiene care daily to maintain clean, dry skin. C) Maintain clean skin by providing daily whirlpool baths. D) Provide hourly sponge baths for end-of-life comfort.
Which of the following involves differentiation among the practices of physicians, nurses, and other health care providers?
1. Sovereign immunity 2. Respondeat superior 3. Scope of practice 4. Judicial law