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

Answer and Explanation

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.

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Correct Answer is ["B","C","D"]

Explanation

A. While a respiratory rate of 12/min is slightly low, it's not a specific finding for neurogenic shock. The respiratory rate may be affected by other factors, such as pain or medications.
B. The initial phase of neurogenic shock is characterized by hypotension, which can be manifested by a low blood pressure reading, such as 184/88 mm Hg.
C. The body's response to hypotension is to try to increase blood flow to the vital organs, which can lead to bradycardia or a slow heart rate, such as 54/min.
D. Neurogenic shock can also cause poikilothermia, which is the inability to regulate body temperature. This can result in a temperature below normal, such as 36.3° C (97.4° F).
E. A calcium level of 7.0 mg/dL is within the normal range and is not a specific finding for neurogenic shock.

A. Independent control of bowel and bladder function B. Use of a wheelchair with a chin or mouth stick- C. Ability to achieve independent transfer from bed to wheelchair D. Ability to self-feed with the use of adaptive equipment

Correct Answer is B

Explanation

A. At the C5 level, the client is likely to have significant limitations in motor function and autonomic control below the level of the injury. While some bowel and bladder management can be achieved, full independence in these functions is generally not realistic at this level.
B. This goal is realistic for a client at the C5 level. Individuals at this level can often use a power wheelchair or manual wheelchair with adaptive devices such as a chin or mouth stick to propel themselves.
C. Achieving independent transfers from bed to wheelchair is typically not feasible for someone with a complete C5 spinal cord injury. At this level, significant upper body strength is necessary for transfers, which the client may not have.
D. With the use of adaptive equipment and assistive technologies, the client can achieve a level of independence in mobility and daily activities. However, it is not a primary goal.

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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.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has a spinal cord injury. Which of the following assessment findings should the nurse expect with neurogenic shock? (Select all that apply.)

Correct Answer is ["B","C","D"]

Explanation

A nurse is developing a plan of care for a client who has a spinal fracture and complete spinal cord transection at the level of C5. Which of the following rehabilitation goals should the nurse add to the client's plan of care?

Correct Answer is B

Explanation

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