A nurse is caring for a client who has myelosuppression after receiving chemotherapy. The nurse should monitor the client for which of the following adverse effects?
Anorexia and malnutrition
Diarrhea and dehydration
Bleeding from the gums
Full body alopecia
The Correct Answer is C
A. Anorexia and malnutrition - While these may occur due to chemotherapy, they are not directly caused by myelosuppression.
B. Diarrhea and dehydration - These symptoms might be side effects of chemotherapy but are not specific to myelosuppression.
C. Bleeding from the gums - Myelosuppression can lead to thrombocytopenia (low platelet count), increasing the risk of bleeding, including from gums and other mucous membranes.
D. Full body alopecia - Alopecia is a common side effect of chemotherapy but is not related to myelosuppression.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. 2 hr after obtaining blood from the blood bank. Blood should be started as soon as possible, ideally within 30 minutes to minimize the risk of bacterial growth. Waiting for 2 hours is not appropriate.
B. When the client states he is ready to start the infusion. The client’s readiness should be considered, but the timing should be based on clinical guidelines and safety protocols, not just the client’s preference.
C. As soon as the nurse can prepare the client and the administration set. Blood products should be infused as soon as possible after preparation to reduce the risk of bacterial contamination and ensure efficacy.
D. When the client has finished eating lunch. The infusion timing should not be delayed for non-essential reasons like meal completion unless the client is experiencing issues that could interfere with the transfusion.
Correct Answer is A
Explanation
A. Heart rate: Adequate fluid resuscitation in burn patients helps to restore intravascular volume, improving circulation and perfusion. A decrease in heart rate indicates improved cardiac output and reduced compensatory tachycardia, suggesting adequate fluid replacement.
B. Weight: Fluid replacement can lead to an increase in weight due to the volume of fluids administered, not a decrease.
C. Urine output: Adequate fluid resuscitation typically increases urine output as renal perfusion improves.
D. Blood Pressure (BP): While BP can stabilize with adequate fluid resuscitation, it is not as direct an indicator as a decrease in heart rate in reflecting improved perfusion and hydration status.
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