A nurse is planning to discharge a client who has quadriplegia to his home. The nurse suggests that the family might need respite care services. When a family member asks how respite care can help, which of the following responses should the nurse provide?

A. This statement indicates that the client is actively trying to adapt to their condition by using adaptive equipment for feeding. Acknowledging spills but recognizing improvement reflects a positive attitude towards learning and gaining independence. This is a strong indication of adaptation.
B. While this statement shows that the client has the necessary equipment, preferring a bed bath suggests a reluctance to engage with the shower setup. It may indicate a lack of willingness to explore new methods for independence, which points to a slower adaptation process.
C. This statement suggests avoidance of social activities and a level of withdrawal from engaging with the outside world. This indicates a struggle with adjustment rather than successful adaptation to the home environment.
D. While enjoying life is important, relying on alcohol for pleasure may indicate unhealthy coping mechanisms. This statement does not demonstrate adaptation to the client's condition and may suggest avoidance of addressing the challenges of their new lifestyle.

A. Aggressive chemotherapy often leads to a decrease in red blood cell production due to the suppression of bone marrow activity. Therefore, we would expect a decreased hemoglobin count rather than an increased one.
B. Chemotherapy targets rapidly dividing cells, which includes not only cancer cells but also normal cells in the bone marrow, leading to a decreased leukocyte (white blood cell) count. This condition is known as leukopenia and increases the risk of infections.
C. Similar to leukocytes, platelet production is also affected by chemotherapy, resulting in a decreased platelet count (thrombocytopenia). This can lead to increased bleeding risk and bruising.
D. Chemotherapy can cause a decrease in erythrocytes (red blood cells) due to its impact on the bone marrow. This is part of the broader condition known as anemia, which is common in patients undergoing aggressive cancer treatments.
E. Following aggressive chemotherapy, we would not expect an increased platelet count. Instead, the count is typically decreased due to the effects of the treatment on the bone marrow.