The nurse reviews the laboratory results of a patient who is receiving chemotherapy. Which laboratory result is most important to report to the health care provider?

a. Hematocrit of 30%
b. Platelets of 95,000/µL
c. Hemoglobin of 10 g/L
d. White blood cell (WBC) count of 2700/µL


ANS: D
The low WBC count places the patient at risk for severe infection and is an indication that the chemotherapy dose may need to be lower or that WBC growth factors such as filgrastim (Neupogen) are needed. Although the other laboratory data indicate decreased levels, they do not indicate any immediate life-threatening adverse effects of the chemotherapy.

Nursing

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The nurse discussed strategies with a parent to prevent a recurrence of urinary tract infection in the child. Which statement made by the parent indicates a need for further teaching?

a. "My daughter should wash and wipe the perineal area from front to back." b. "I am only going to have my daughter wear cotton underwear." c. "It is acceptable to take frequent bubble baths." d. "She needs to drink lots of fluids and void frequently."

Nursing

A patient has been newly diagnosed with irritable bowel syndrome (IBS). The nurse knows that the most likely choice of anticholinergic drug to be prescribed for this patient is what?

A) Atropine (generic) B) Dicyclomine (generic) C) Glycopyrrolate (Robinul) D) Methscopolamine (Pamine)

Nursing

____________________________ can be used to fine tune and improve critical pathways thereby contributing to improved client outcomes. Standard Text:

Fill in the blank(s) with correct word

Nursing

Trifluridine is an antiviral agent that is used in the eyes to treat:

1. dry eye. 2. corneal ulcers. 3. conjunctivitis. 4. inflammation.

Nursing