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 A
Explanation
A. This option focuses on involving the client in their own care and goal-setting. By establishing attainable goals together, the nurse can help the client regain a sense of control and motivation, which may encourage participation in therapy.
B. This option uses a form of coercion, implying that the client must comply with therapy to earn privileges. While consequences for non-participation can be a component of care, this approach may increase resistance and feelings of resentment.
C. This approach is punitive and likely to worsen the client's emotional state. Limiting support from family and friends can increase feelings of isolation and abandonment, potentially leading to greater resistance to therapy.
D. While offering the client some control can be beneficial, this option may lead to inconsistencies in therapy participation. If the client chooses to minimize their participation or avoid therapy altogether, it could hinder their rehabilitation progress. However, a balanced approach that includes some client choice alongside structured therapy may be beneficial.
Correct Answer is A
Explanation
A. This statement reflects an active effort to adapt to the new circumstances. The client is utilizing adaptive equipment and recognizing their progress, even if there are still challenges. This shows resilience and a willingness to engage in self-care, indicating positive adaptation.
B. While this statement indicates the client has the necessary equipment, preferring a bed bath suggests a lack of willingness to engage with the shower setup. This may reflect resistance to trying new methods of independence, indicating less adaptation to the home environment.
C. This statement suggests the client is avoiding social interactions and activities outside the home. It indicates a level of withdrawal and a possible struggle with adjustment, rather than an adaptation to their new lifestyle.
D. This statement does not necessarily reflect healthy adaptation. While enjoying life is important, reliance on alcohol for pleasure may suggest avoidance of other coping mechanisms or activities that could promote better adaptation. It may indicate an unhealthy adjustment to their situation.
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