A nurse is monitoring a client undergoing chemotherapy for leukemia. The client's white blood cell (WBC) count is significantly low. Which intervention should the nurse implement to protect the client from infection?

Encourage daily aerobic exercise

Administer intramuscular (IM) vaccinations

Place the client in a private room with negative pressure

Limit the number of healthcare providers entering the client's room

Answer and Explanation

The Correct Answer is C

A) This choice is incorrect because while aerobic exercise is beneficial for overall health, it may not directly protect the client from infection in the context of low WBC count during chemotherapy.

B) This choice is incorrect because during chemotherapy, live vaccines should be avoided as they can pose a risk to immunocompromised clients with low WBC counts.

C) This choice is correct. Placing the client in a private room with negative pressure helps reduce the risk of exposure to infectious agents, especially in immunocompromised clients with low WBC counts who are at higher risk of infection.

D) This choice is incorrect because limiting the number of healthcare providers entering the client's room may be beneficial to reduce the risk of exposure to potential infections, but placing the client in a private room with negative pressure is a more comprehensive measure.

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Correct Answer is D

Explanation

A) This choice is incorrect because a bone marrow biopsy is not performed to remove a tumor mass. The purpose of the procedure is to obtain a sample of bone marrow tissue for diagnostic evaluation.

B) This choice is incorrect because assessing the presence of circulating cancer cells in the bloodstream is typically done through a blood test, not a bone marrow biopsy. The biopsy provides direct information about the condition of the bone marrow.

C) This choice is incorrect because evaluating the overall blood cell count and differential is typically done through a complete blood count (CBC) test, not a bone marrow biopsy. The biopsy provides more detailed information about the bone marrow and its cellular composition.

D) This choice is correct. The primary purpose of a bone marrow biopsy is to obtain a sample of bone marrow tissue for examination under a microscope. This allows healthcare professionals to assess the presence of abnormal cells, determine the type and extent of leukemia, and guide treatment decisions.

A. Unexplained weight gain B. Easy bruising and bleeding C. Persistent fatigue and weakness D. Frequent infections and fever E. Painful, swollen lymph nodes

Correct Answer is ["B","C","D","E"]

Explanation

A) This choice is incorrect because unexplained weight gain is not a common symptom of leukemia. Weight loss may be more typical in some cases.

B) This choice is correct. Easy bruising and bleeding are common manifestations of leukemia due to a decreased number of healthy blood cells and platelets, which are responsible for clotting.

C) This choice is correct. Persistent fatigue and weakness are common symptoms of leukemia. Leukemia can lead to a decrease in normal blood cells, causing anemia and leading to fatigue and weakness.

D) This choice is correct. Leukemia can weaken the immune system, making the person more susceptible to infections, leading to frequent infections and fever.

E) This choice is correct. Leukemia can cause the enlargement of lymph nodes, leading to painful and swollen lymph nodes.

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A nurse is monitoring a client undergoing chemotherapy for leukemia. The client's white blood cell (WBC) count is significantly low. Which intervention should the nurse implement to protect the client from infection?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with leukemia is undergoing a bone marrow biopsy for diagnosis and staging. The nurse should explain that the primary purpose of this procedure is to:

Correct Answer is D

Explanation

A nurse is providing education to a client diagnosed with leukemia about common signs and symptoms. The nurse should include which symptoms as potential manifestations of leukemia? Select all that apply.

Correct Answer is ["B","C","D","E"]

Explanation

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A nurse is monitoring a client undergoing chemotherapy for leukemia. The client's white blood cell (WBC) count is significantly low. Which intervention should the nurse implement to protect the client from infection?

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