A nurse is reviewing the laboratory results of a client who has acute leukemia and received an aggressive chemotherapy treatment 10 days ago. Which of the following hematologic laboratory values should the nurse expect? (Select all that apply.)
Increased hemoglobin count
Decreased leukocyte count
Decreased platelet count
Decreased erythrocyte count
Increased platelet count
Correct Answer : B,C,D
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. While the ability to feel sensations may be affected depending on the level and completeness of the spinal cord injury, many individuals with spinal cord injuries can still experience arousal through touch, especially in areas above the injury level.
B. This statement is appropriate and encouraging. It promotes self-exploration and helps the client understand that their body can still respond in ways that may lead to enjoyment. It acknowledges the importance of finding what feels pleasurable, which can enhance sexual health and intimacy after an injury.
C. While promoting a positive self-image is important, this statement may come off as dismissive of the client’s feelings. While the intention is to support the client's self-esteem, it’s more important to acknowledge that feelings of desirability can be complex after an injury, and it’s okay to have mixed emotions about body image.
D. This statement is misleading and harmful. Many individuals with spinal cord injuries can and do engage in intimate relationships. While there may be challenges, such relationships are entirely possible and can be fulfilling.
Correct Answer is A
Explanation
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.
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