The client is receiving chemotherapy with an agent that causes thrombocytopenia. Which intervention is most important to teach the client for this problem?
A. "Eat a low-bacteria diet."
B. "Take your temperature daily."
C. "Use a soft-bristled toothbrush and do not floss."
D. "Avoid using mouthwashes that contain alcohol."
C
Thrombocytopenia means that the client's platelets are greatly decreased in number, increasing the client's risk for prolonged bleeding in response to even minor injury, especially from highly vascular areas, such as the gums.
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The nurse on an oncology unit prepares to administer the fourth cycle of docetaxel [Taxotere] to a patient with breast cancer. Which clinical finding would cause the nurse to withhold the dose and call the prescriber?
a. Alanine transaminase (ALT) 1.2 times the upper limit b. Alkaline phosphatase 2 times the upper limit c. Neutrophil count below 1500/mm3 d. Creatinine clearance of 130 mL/min/1.73 m2
The nurse is monitoring the urine specific gravity and pH on a child receiving chemotherapy. Which urinalysis result is the goal for this child?
1. Spec gravity 1.030; pH 6 2. Spec gravity 1.030; pH 7.5 3. Spec gravity 1.005; pH 6 4. Spec gravity 1.005; pH 7.5
Distributive justice refers to the allocation of benefits and burdens to members of society. Benefits refer to:
1. Basic needs, material and social goods, liberties, rights, and entitlements 2. Taxes, military service, location of incinerators or and power plants 3. Entitlement to equal rights and equal treatment 4. The right to private property as the most important benefit
The nurse is planning care for a school-age child diagnosed with separation anxiety disorder. Which aspects of cognitive-behavior therapy (CBT) should the nurse include in the teaching plan for the child's family? Select all that apply
1. Self-talking 2. Relaxation 3. Hypnosis 4. Antidepressant medications 5. Recognition of feelings