A nurse is reviewing the medical record for a client who has acute leukemia
Select words from the choices to fill in each blank in the following sentence The client is at risk for developing
andThe Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"B"}
Bleeding: The client's platelet count has dropped from 160,000/mm³ to 100,000/mm³, which is below the normal range (150,000 to 400,000/mm³). Platelets are essential for blood clotting, and a low count increases the risk of bleeding. Additionally, the prolonged PT (13.5 seconds) and elevated INR (2.2) further indicate a tendency toward bleeding.
Infection: The client's WBC count remains elevated at 15,500/mm³, which can be indicative of ongoing infection or inflammation. Patients with acute leukemia often have dysfunctional white blood cells, which impairs their ability to fight infections effectively.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. While monitoring bowel sounds is important for assessing gastrointestinal function, it is not the most critical parameter to monitor in a patient with leukemia.
B. Fever can indicate infection, which is a common complication in patients with leukemia due to compromised immune function from the disease and its treatments.
C. Monitoring heart rate is important, but it may not be the most crucial parameter to monitor unless there are specific cardiac concerns.
D. Skin integrity should be monitored, but it may not be the most important parameter to monitor unless there are concerns about skin breakdown or infections.
Correct Answer is ["A","B","D"]
Explanation
A. Hodgkin's disease is characterized by the presence of Reed-Sternberg cells, which are large, abnormal lymphocytes.
B. Enlarged, painless lymph nodes, particularly in the neck, armpits, or groin, are characteristic of Hodgkin's disease.
C. Skeletal pain is not a typical symptom of Hodgkin's disease. Patients may experience generalized symptoms such as fatigue, fever, and weight loss.
D. Hodgkin's disease has a relatively high cure rate, especially in comparison to other types of lymphomas. Advances in treatment have improved outcomes for many patients with Hodgkin's disease.
E. Philadelphia chromosome is associated with chronic myeloid leukemia, not Hodgkin's disease.
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