An appropriate nursing intervention for a patient with non-Hodgkin's lymphoma whose platelet count drops to 18,000/μL during chemotherapy is to

check all stools for occult blood.

encourage fluids to 3000 mL/day.

provide oral hygiene every 2 hours.

check the temperature every 4 hours.

Answer and Explanation

The Correct Answer is A

A. Correct. A platelet count <20,000/μL increases bleeding risk. Checking for occult blood helps detect hidden gastrointestinal bleeding.

B. Incorrect. Hydration is important but does not directly address thrombocytopenia management.

C. Incorrect. While oral hygiene is important, frequent brushing could cause bleeding with low platelets.

D. Incorrect. Monitoring temperature is important for infection risk but does not address bleeding concerns.

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Correct Answer is B

Explanation

A. 8:00 AM to 11:00 AM. – Incorrect. NPH insulin peaks in 6–14 hours, not within a few hours.

B. 2:00 PM to 5:00 PM. – Correct Answer. NPH insulin peaks around 6–14 hours, making this the most likely time for hypoglycemia.

C. 2:00 AM to 5:00 AM. – Incorrect. This would be the peak time for evening NPH insulin, not morning administration.

D. 10:00 PM to 12:00 AM. – Incorrect. NPH insulin does not peak this late when given in the morning.

A. Infuse the transfusion at a rate of 200 mL/hr. B. Check the patient's vital signs every hour during the transfusion. C. Leave the patient 5 minutes after beginning the transfusion. D. Flush the blood tubing with dextrose 5% in water.

Correct Answer is B

Explanation

A. Infuse the transfusion at a rate of 200 mL/hr. – Incorrect. The initial infusion should be slow (e.g., 75-100 mL/hr) to monitor for reactions.

B. Check the patient's vital signs every hour during the transfusion. – Correct Answer. Frequent monitoring is necessary to detect adverse reactions, such as fever or hypotension.

C. Leave the patient 5 minutes after beginning the transfusion. – Incorrect. The nurse should remain with the patient for the first 15 minutes, as most transfusion reactions occur early.

D. Flush the blood tubing with dextrose 5% in water. – Incorrect. Only normal saline should be used to flush blood tubing, as dextrose can cause hemolysis.

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An appropriate nursing intervention for a patient with non-Hodgkin's lymphoma whose platelet count drops to 18,000/μL during chemotherapy is to

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Naxlex Comprehensive Predictor Exams

What time of day would a nurse expect to see signs of hypoglycemia in a patient following NPH insulin (intermediate acting) given at 7:30am?

Correct Answer is B

Explanation

A nurse is preparing to initiate a transfusion of packed RBC for a patient who has anemia. Which of the following actions should the plan to nurse take?

Correct Answer is B

Explanation

A nurse is admitting a 56-year old male patient who has leukemia and a critically low platelet count. Which of the following precautions should the nurse initiate?

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