A client is taking a medication that has the side effect of depressing the hematopoietic system. What signs of leukopenia should the nurse monitor for while the client is taking this drug?

Fever, sore throat, and chills

Nausea and vomiting

Intolerance to heat and rash

Diarrhea, diaphoresis, and fever

Answer and Explanation

The Correct Answer is A

A. Fever, sore throat, and chills: These are classic signs of infection and are especially concerning in leukopenia, where the body’s ability to fight infections is compromised due to a low white blood cell count. Prompt recognition is critical for early intervention.
B. Nausea and vomiting: While these may be side effects of many medications, they are not specific indicators of leukopenia. They reflect gastrointestinal irritation rather than immunosuppression.
C. Intolerance to heat and rash: These symptoms are more consistent with thyroid dysfunction or allergic reactions, not leukopenia. They do not suggest a compromised immune response.
D. Diarrhea, diaphoresis, and fever: Though fever can be a sign of leukopenia-related infection, diarrhea and diaphoresis are nonspecific symptoms and may relate to other systems or drug side effects. Fever, sore throat, and chills are more indicative of infection due to leukopenia.

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Correct Answer is D

Explanation

A. Bladder trauma: Bladder injuries are more commonly associated with lower abdominal or pelvic trauma, especially from a direct blow or pelvic fracture, not chest compression.
B. A pleural effusion: Pleural effusion refers to fluid accumulation in the pleural space, usually from infection, malignancy, or inflammation. It does not occur suddenly from blunt chest trauma.
C. Fractured pelvis: A pelvic fracture is typically caused by impact to the lower body or hip area, not by forceful chest compression against a steering wheel.
D. Cardiac tamponade: Blunt chest trauma can lead to bleeding into the pericardial sac, causing cardiac tamponade. This is a life-threatening condition where fluid compresses the heart, impairing its ability to pump effectively. It is a likely concern in cases of severe chest impact.

A. "Adopt a vegetarian diet and omit all meats, and you will maximize immune function." B. "Instead of taking supplements, eat a lot of fruits and vegetables to maximize immune function." C. "Eating a moderate diet that is balanced and varied will maximize immune function." D. "You should take a variety of vitamin and mineral supplements to maximize immune function."

Correct Answer is C

Explanation

A. "Adopt a vegetarian diet and omit all meats, and you will maximize immune function.":
Eliminating all meat is not necessary for immune health and may risk deficiencies in key nutrients like vitamin B12 and iron. A balanced approach ensures broader nutritional coverage for immune support.
B. "Instead of taking supplements, eat a lot of fruits and vegetables to maximize immune function.": Fruits and vegetables are rich in antioxidants and vitamins, but they should be part of a complete diet that includes protein, healthy fats, and whole grains to support the entire immune system.
C. "Eating a moderate diet that is balanced and varied will maximize immune function.": A well-rounded diet provides essential nutrients in appropriate proportions, supporting immune cell production and function. This approach is evidence-based and effective for maintaining immune health in healthy individuals.
D. "You should take a variety of vitamin and mineral supplements to maximize immune function.": Unnecessary supplementation can lead to imbalances or toxicity. For healthy individuals without deficiencies, nutrient needs are best met through food rather than relying on supplements.

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A client is taking a medication that has the side effect of depressing the hematopoietic system. What signs of leukopenia should the nurse monitor for while the client is taking this drug?

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Explanation

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Correct Answer is C

Explanation

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