A nurse is reviewing the CBC findings for a female client who is receiving combination chemotherapy for breast cancer. Which of the following findings should the nurse report to the provider?

WBC 1500/mm3

RBC 5 million/mm3

Platelets 155,000/mm3

Hemoglobin 12 g/dL

Answer and Explanation

The Correct Answer is A

A. A WBC count of 1500/mm3 is significantly low (normal range is 4500-11000/mm3) and indicates neutropenia, placing the client at high risk for infection. This finding should be reported to the provider immediately.
B. An RBC count of 5 million/mm3 is within the normal range for females (4.2-5.4 million/mm3) and does not indicate an immediate concern in the context of chemotherapy.
C. Platelet count of 155,000/mm3 is on the lower end of the normal range (150,000-450,000/mm3) but does not pose an immediate risk compared to neutropenia.
D. A hemoglobin level of 12 g/dL is within the normal range for females (12-16 g/dL) and does not require urgent reporting.

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Correct Answer is C

Explanation

A. The client's platelet count is within the normal range (150,000-450,000/mm³), indicating no increased risk for bleeding based on this parameter.

B. Although a diet with increased protein may be beneficial for overall health and wound healing, the primary concern here is the low WBC count, which indicates an increased risk of infection.

C. The client's WBC count is significantly low (1,400/mm³, with normal being around 4,000-11,000/mm³), indicating leukopenia and an increased risk of infection, a common side effect of cisplatin and other chemotherapy agents.

D. Erythropoiesis-stimulating agents are typically used for anemia management, but the primary issue here is the low WBC count, not the RBC count or hemoglobin levels.

A. Medications will need to be taken for the rest of the client's life, even if the client feels better. B. A typical course of treatment involves 6 to 9 months of consistent medication use. C. Medications will need to be taken until the Mantoux test is negative. D. The client's family will also need to take medications to prevent infection.

Correct Answer is B

Explanation

TB medications are usually required for 6 to 9 months, not for the rest of the client’s life. The treatment duration is designed to ensure complete eradication of the bacteria.
B. A typical course of antitubercular medication involves 6 to 9 months of consistent use to fully treat the infection and prevent resistance.
C. The Mantoux test is used for screening and does not determine the duration of treatment. Medication should be continued as prescribed by the healthcare provider.
D. While family members may need to be screened and potentially treated if exposed, they do not routinely take medications solely to prevent infection unless specifically prescribed.

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A nurse is reviewing the CBC findings for a female client who is receiving combination chemotherapy for breast cancer. Which of the following findings should the nurse report to the provider?

Nursing Test Bank

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