A nurse is caring for a client with leukemia who has developed a cough and increased fatigue. What is the primary nursing intervention?
Administer an antitussive.
Place a cooling blanket on the client.
Evaluate the client for potential infection.
Medicate the client to relieve pain.
The Correct Answer is C
A. Administer an antitussive: While an antitussive may help relieve a cough, it does not address the potential underlying cause of the cough, especially in a client with leukemia who may be at increased risk for infections or complications.
B. Place a cooling blanket on the client: Cooling blankets are typically used for fever management, but increased fatigue and a cough may indicate a more serious condition, such as infection, rather than just a need for temperature regulation.
C. Evaluate the client for potential infection: In clients with leukemia, the immune system is compromised, making them more susceptible to infections. A cough and increased fatigue could be signs of an infection, such as pneumonia, which requires prompt evaluation and intervention.
D. Medicate the client to relieve pain: While pain management is important, the primary concern is determining whether the client's symptoms are due to an infection or a serious complication. Pain management would come after evaluating the cause of the symptoms.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "There are new ways of protecting yourself from HIV that are being discovered every day.": While new methods of HIV prevention are being researched, the most proven and reliable methods currently include consistent condom use and abstinence.
B. "Other than abstinence, only the consistent and correct use of condoms is effective in preventing HIV.": The most effective and scientifically proven methods to prevent HIV are abstinence and consistent, correct condom use.
C. "Only the correct use of a female condom protects against the transmission of HIV.": While female condoms are effective, they are not the only method. Male condoms, when used consistently and correctly, are also highly effective in preventing the transmission of HIV.
D. "There's no way to be sure you won't get HIV except to use condoms correctly.": While this is a true statement, it is negative and might be alarming. It also misses the opportunity to discuss abstinence as a complete preventive measure.
Correct Answer is C
Explanation
A. Age 19 to 30 years: While malignant melanoma can occur at any age, it is more commonly diagnosed in individuals aged 30 to 40 years or older. Being in the 19-30 age group does not significantly increase the risk of developing melanoma.
B. Dark hair: Dark hair is not a major risk factor for malignant melanoma. In fact, individuals with lighter skin and hair are generally at a higher risk. Hair color alone does not place a person at high risk for melanoma.
C. History of chronic skin irritation: Chronic skin irritation or conditions that cause repeated trauma to the skin can increase the risk of melanoma. This includes a history of sunburns or other forms of skin damage, which can predispose the skin to malignant changes over time.
D. Female gender: While gender can play a role in the risk of melanoma, it is not as significant as other factors like fair skin, history of sun exposure, or family history of melanoma. Both males and females can be affected by melanoma.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.