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

Answer and Explanation

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.

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Correct Answer is A

Explanation

A. "Eating a high fiber diet will reduce my risk for developing skin cancer." There is no evidence that a high-fiber diet specifically reduces the risk of skin cancer. This statement indicates a misunderstanding and a need for further teaching.

B. "I should check my skin monthly for any changes." Regular self-examinations are recommended to detect early signs of skin cancer.

C. "I should use sunscreen even on cloudy days." UV rays can penetrate clouds, so using sunscreen on cloudy days is an important preventive measure.

D. "I should avoid the use of tanning booths." Tanning booths increase the risk of skin cancer, so avoiding them is a correct preventive action.

A. Sleep on the abdomen to facilitate wound healing. B. Bend at the waist to pick objects up from the floor. C. Notify the surgeon if white drainage develops on the eyelids. D. Avoid lifting anything heavier than 4.5 kg (10 lb) for 1 week.

Correct Answer is D

Explanation

A. Sleep on the abdomen to facilitate wound healing: Clients are usually advised to avoid sleeping on the side of the operated eye or on the abdomen to prevent pressure on the eye.

B. Bend at the waist to pick objects up from the floor: Bending at the waist can increase intraocular pressure, which is not advisable post-surgery.

C. Notify the surgeon if white drainage develops on the eyelids: White drainage may be a sign of normal healing or minor irritation; however, yellow or green discharge would be more concerning for infection.

D. Avoid lifting anything heavier than 4.5 kg (10 lb) for 1 week. Lifting heavy objects can increase intraocular pressure and potentially disrupt the healing process after cataract surgery. The client should avoid such activities to promote proper healing.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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