A client diagnosed with cancer is receiving chemotherapy. The nurse should assess which diagnostic laboratory value while the client is receiving chemotherapy?

pancreatic enzymes

Helicobacter Pylori results

kidney function values

cells produced in the bone marrow

Answer and Explanation

The Correct Answer is D

A. Pancreatic enzymes: These values are primarily monitored in conditions affecting the pancreas, such as pancreatitis or pancreatic cancer. They are not the priority lab values to monitor in a client receiving chemotherapy.

B. Helicobacter pylori results: H. pylori testing is important for gastrointestinal disorders such as peptic ulcers or gastric cancer risk, but it is not a relevant or routine diagnostic value to monitor during chemotherapy treatment.

C. Kidney function values: Kidney function is important when chemotherapy agents are nephrotoxic, but monitoring kidney function is not as consistently crucial as monitoring bone marrow suppression, which occurs universally with many chemotherapy agents.

D. Cells produced in the bone marrow: Chemotherapy suppresses bone marrow activity, leading to decreased production of white blood cells, red blood cells, and platelets. Monitoring these values is essential to detect infection risk, anemia, or bleeding tendencies.

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Correct Answer is A

Explanation

A. Team consistency is important to prevent manipulation by the client: Clients with antisocial personality disorder often attempt to exploit inconsistencies in staff responses. A united and consistent approach from all team members prevents splitting and manipulation.

B. Updating treatment recommendations as the client improves: While treatment plans should be reviewed regularly, updating recommendations is a secondary priority. Consistency in staff approach is more immediately important for maintaining boundaries and preventing disruptive behavior.

C. Staff frustrations in caring for the client need to be processed: Processing emotions among staff can help reduce burnout and improve coping. However, it does not directly impact the client’s care plan or prevent manipulation, making it less urgent than ensuring consistency.

D. Rotating team members need to be apprised of the care planned for the client: Informing new staff about the care plan is important, but without overall team consistency, manipulation risks remain high.

A. Use of clang associations B. Delusion of persecution C. Constantly waving arms D. Flat affect E. Lack of motivation

Correct Answer is ["A","B","C"]

Explanation

A. Use of clang associations: This is a positive symptom because it reflects disorganized thinking and speech, where words are linked by sound rather than meaning. Such speech disturbances represent an excess or distortion of normal functioning.

B. Delusion of persecution: Delusions are positive symptoms, as they involve false, fixed beliefs not based in reality. Persecutory delusions specifically reflect paranoia and are considered a hallmark positive symptom in schizophrenia.

C. Constantly waving arms: Repetitive or purposeless movements fall under abnormal motor behaviors, which are classified as positive symptoms. These behaviors demonstrate an excess of activity not normally present.

D. Flat affect: A diminished or absent emotional expression is considered a negative symptom. It reflects a reduction in normal emotional responsiveness rather than an excess of behavior.

E. Lack of motivation: Also known as avolition, this is a negative symptom characterized by decreased ability to initiate and persist in goal-directed activities. It represents a loss of normal function rather than the presence of abnormal behavior.

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A client diagnosed with cancer is receiving chemotherapy. The nurse should assess which diagnostic laboratory value while the client is receiving chemotherapy?

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Naxlex Comprehensive Predictor Exams

The nurse is involved in the care of a client with antisocial personality disorder. Which purpose does the nurse identify as a priority when participating in a periodic team meeting when caring for this client?

Correct Answer is A

Explanation

A nurse is completing an admission assessment for a client who has schizophrenia. Which of the following findings should the nurse document as positive symptoms? Select all that apply.

Correct Answer is ["A","B","C"]

Explanation

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