A nurse is providing care for a client undergoing treatment for leukemia. The client develops neutropenia. What is the nurse's priority intervention?
Administering pain medication for bone pain
Monitoring for signs of bleeding or bruising
Implementing strict isolation precautions
Avoiding invasive procedures and injections
The Correct Answer is C
A) This choice is incorrect because administering pain medication for bone pain is important for the client's comfort, but it is not the priority in this situation. Neutropenia is characterized by a low neutrophil count, which can lead to an increased risk of infection.
B) This choice is incorrect because while monitoring for signs of bleeding or bruising is essential for a client with thrombocytopenia (low platelet count), it is not the priority in this scenario. Neutropenia increases the risk of infection, which is the primary concern.
C) This choice is correct. Implementing strict isolation precautions is the priority for a client with neutropenia. Neutropenia results in a decreased ability to fight off infections, so measures to prevent exposure to potential pathogens are crucial in reducing the risk of infection.
D) This choice is incorrect because avoiding invasive procedures and injections is a precaution for clients with thrombocytopenia, not specifically neutropenia. While both conditions involve low blood cell counts, the risk of infection is the primary concern in neutropenia.
Questions
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A) This choice is incorrect because flow cytometry analysis is not primarily used to assess the client's heart function.
B) This choice is incorrect because determining the client's blood type is not the primary purpose of flow cytometry analysis in the diagnostic evaluation of leukemia.
C) This choice is correct. Flow cytometry analysis is a specialized laboratory technique used to classify the type of leukemia and its subtype based on specific cell markers present on the surface of leukemic cells. This information helps guide the appropriate treatment plan.
D) This choice is incorrect because evaluating the client's kidney function is not the primary purpose of flow cytometry analysis in the diagnostic evaluation of leukemia.
Correct Answer is C
Explanation
A) This choice is incorrect because leukemia does not primarily affect the lymph nodes. It is a cancer of the blood and bone marrow, where abnormal white blood cells are produced.
B) This choice is incorrect because leukemia is not characterized by the overproduction of platelets. Platelets are involved in blood clotting, and their overproduction is not a feature of leukemia.
C) This choice is correct. Leukemia is a type of cancer characterized by the uncontrolled proliferation of abnormal white blood cells in the bone marrow. These abnormal cells then enter the bloodstream, crowding out healthy blood cells and impairing normal blood cell function.
D) This choice is incorrect because leukemia is not an autoimmune disorder. It is a cancerous condition involving abnormal white blood cell growth.
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