A client receives chemotherapy with an agent that causes thrombocytopenia. Which intervention is most important to teach the client?

Include a diet of soft foods and liquid protein.

Safety in the home to reduce injury and falls.

Space activities throughout the day to allow periods of rest.

Frequent hand hygiene using soap and water to decrease flora.

Answer and Explanation

The Correct Answer is B

A. While a diet of soft foods and liquid protein may be beneficial for a client undergoing chemotherapy, it is not the most critical intervention related to thrombocytopenia. Nutritional needs can be managed but do not address the immediate risk of bleeding or injury.
B. Teaching safety in the home to reduce injury and falls is the most important intervention. Clients with thrombocytopenia have a significantly increased risk of bleeding and bruising, making it essential to prevent falls and injuries that could lead to serious complications.
C. Spacing activities throughout the day can help manage fatigue, but it is not as urgent as ensuring the client is safe from injuries related to low platelet counts.
D. Frequent hand hygiene is important to prevent infections, especially in immunocompromised patients, but it does not directly address the primary concern of preventing injuries related to thrombocytopenia.

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Correct Answer is C

Explanation

A. While no episodes of diarrhea may be beneficial, it is not a direct indicator of the effectiveness of ondansetron, which is used primarily to prevent nausea and vomiting.
B. Maintaining a normal hemoglobin level is not an expected outcome related to ondansetron, as it does not influence blood counts.
C. The ability to tolerate oral fluid intake indicates that the client is managing nausea effectively, demonstrating that ondansetron is working as intended.
D. Hair loss is a common side effect of many chemotherapeutic agents, and ondansetron does not affect this outcome. Therefore, it is not an appropriate indicator of the medication's effectiveness.

Correct Answer is ["62.5"]

Explanation

To determine the IV pump rate, we need to calculate the flow rate in milliliters per hour (mL/h).

Given:

Total volume: 500 mL
Infusion time: 8 hours

Calculation:

Flow rate = Total volume / Infusion time
Flow rate = 500 mL / 8 hours
Flow rate = 62.5 mL/h

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A client receives chemotherapy with an agent that causes thrombocytopenia. Which intervention is most important to teach the client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is evaluating a client's response to ondansetron following the administration of chemotherapy. Which finding indicates an expected outcome? The client:

Correct Answer is C

Explanation

A client is to receive 500 mL of IV fluid over 8 hours. At what rate should the nurse set the IV pump?

Correct Answer is ["62.5"]

Explanation

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