A nurse is caring for a client who is receiving cisplatin for treatment of ovarian cancer. The client's most recent complete blood count (CBC) is shown in the table below. It is important for the nurse to consider which of the following for the client? WBC

1,400/mm3

RBC

4.3 x 1012/L

Hgb

Hct

Platelets

Albumin

12.1 g/dL

36.5%

170,000/mm3

5 g/dL

The client has an increased risk of infection.

The client should receive a diet with increased protein.

The client has an increased risk for bleeding.

The client should receive an erythropoiesis stimulating agent.

Answer and Explanation

Correct Answer : A,C

Answer: A. The client has an increased risk of infection.

Rationale: This is because the client's white blood cell (WBC) count is low, which indicates a compromised immune system. The normal range for WBC is 4,000 to 11,000/mm3. A low WBC count can be caused by chemotherapy, which is a common treatment for ovarian cancer. The nurse should monitor the client for signs of infection, such as fever, chills, redness, swelling, or drainage, and implement infection prevention measures, such as hand hygiene, sterile technique, and isolation precautions.

Answer: C. The client has an increased risk for bleeding.

Rationale: This is because the client's platelet count is low, which indicates a reduced ability to form clots and stop bleeding. The normal range for platelets is 150,000 to 400,000/mm3. A low platelet count can be caused by chemotherapy, which can damage the bone marrow where platelets are produced. The nurse should monitor the client for signs of bleeding, such as petechiae, ecchymosis, hematuria, or melena, and implement bleeding prevention measures, such as avoiding invasive procedures, applying pressure to puncture sites, and using soft-bristled toothbrushes.

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Correct Answer is A

Explanation

Pyrazinamide is a medication used to treat tuberculosis that can cause renal damage and crystal formation in the urine if not adequately hydrated. The client should also avoid alcohol and have regular liver function tests while taking this medication. Isoniazid should not be taken with antacids, as they can decrease its absorption and effectiveness. Sputum cultures are expected to be negative after 2 months of therapy, not 6 months. Providing a sputum specimen every 2 weeks is not an instruction for the client, but a part of the monitoring process by the health care team.

A. Apply dry, sterile gauze dressings to affected areas. B. Instruct family members with a history of chickenpox that they are still at risk for contracting the virus. C. Prepare to administer acyclovir. D. Apply topical corticosteroids to the affected areas.

Correct Answer is C

Explanation

Acyclovir is an antiviral medication that can reduce the severity and duration of herpes zoster symptoms, such as pain, itching, and blisters. Acyclovir can also prevent complications, such as postherpetic neuralgia, which is a chronic nerve pain that can occur after herpes zoster infection.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who has tuberculosis and is to start medication therapy with isoniazid, rifampin and pyrazinamide. Which of the following instructions should the nurse include?

Correct Answer is A

Explanation

A nurse is caring for a client who has herpes zoster. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

A nurse is caring for a client who has burns to his face, ears, and eyelids. The nurse should identify which of the following is the priority finding to report to the provider?

A nurse is providing dietary teaching for a client who has chronic obstructive pulmonary disease. Which of the following instructions should the nurse include?

A nurse is caring for a client who is taking aspirin for arthritis. The nurse should identify which of the following findings as an adverse effect of this medication?

A nurse is assessing a client who has basal cell carcinoma on her nose. The nurse should expect which of the following findings?

A nurse is teaching a client who has hepatitis A about preventing transmission of the disease. Which is included in the teaching?

Exhibits A nurse in a community health clinic is caring for a client who has a history of HIV. For each of the following assessment findings for the client, identify if the finding is consistent with HIV stage I or HIV stage III (AIDS). Each finding may support more than one disease process.

A nurse is planning a presentation about HIV for a church-based group. Which of the following information about HIV transmission should the nurse include?