Ms. Smith, a 48 year-old female, is being treated for cancer with chemotherapy with medications that routinely cause myelosuppression. Which lab values would the RN need to especially monitor?

Cardiac Enzymes

Complete Blood Count with differential

Chemistry Profile

Liver Function Tests

Answer and Explanation

The Correct Answer is B

A. Cardiac Enzymes

Cardiac enzymes are markers used to assess heart health and are not directly related to myelosuppression caused by chemotherapy. Monitoring cardiac enzymes is important for assessing heart function but is not the primary concern in the context of myelosuppression.

B. Complete Blood Count with differential

This is the correct choice. The complete blood count (CBC) with differential provides information about the levels of red blood cells, white blood cells, and platelets. Since myelosuppression affects blood cell production, monitoring the CBC with differential is crucial to detect and manage any abnormalities in these cell counts.

C. Chemistry Profile

A chemistry profile typically includes measurements of electrolytes, kidney function, and other metabolic parameters. While monitoring overall health is important, the specific concern with myelosuppression and chemotherapy is related to blood cell counts. Therefore, a complete blood count (CBC) is more directly relevant in this context than a chemistry profile.

D. Liver Function Tests

Liver function tests assess the health of the liver and are not directly related to myelosuppression caused by chemotherapy. These tests are important in certain situations, but they do not provide information about blood cell counts, which are the primary concern when dealing with myelosuppression.

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

Explanation

A. Chest X-rays

Chest X-rays are imaging tests that provide detailed pictures of the inside of the chest, including the heart, lungs, and other structures. They are noninvasive as they do not involve any penetration or insertion into the body.

B. Echocardiogram

An echocardiogram is a noninvasive test that uses sound waves to create images of the heart. It provides information about the structure and function of the heart without the need for invasive procedures.

C. Pulmonary function tests

Pulmonary function tests (PFTs) are noninvasive tests that assess the function of the lungs. They include various breathing exercises and measurements to evaluate lung capacity and respiratory function.

D. Cardiac catheterization

Cardiac catheterization is an invasive procedure that involves the insertion of a catheter into the heart. It is not considered noninvasive.

A. Seasonal allergy only B. Severe asthmatic attacks C. Acute bronchospasm D. Maintenance and prevention of asthma

Correct Answer is D

Explanation

A. Seasonal allergy only

Montelukast may be used for the treatment of allergic rhinitis associated with seasonal allergies, but its primary use is for asthma prevention.

B. Severe asthmatic attacks

Montelukast is not typically used for the treatment of severe asthmatic attacks. Short-acting bronchodilators and systemic corticosteroids are more commonly used in this scenario.

C. Acute bronchospasm

While montelukast has a role in the prevention of bronchospasm, it is not typically used for the acute treatment of bronchospasm. Short-acting bronchodilators are more appropriate for immediate relief of bronchospasm.

D. Maintenance and prevention of asthma

Montelukast (Singulair) is used for the maintenance and prevention of asthma. It is a leukotriene receptor antagonist that works by blocking the action of leukotrienes, which are inflammatory mediators involved in the pathophysiology of asthma. By inhibiting leukotrienes, montelukast helps to reduce airway inflammation and bronchoconstriction, thereby preventing asthma symptoms.

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Ms. Smith, a 48 year-old female, is being treated for cancer with chemotherapy with medications that routinely cause myelosuppression. Which lab values would the RN need to especially monitor?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Many patients who are undergoing chemotherapy treatment require both invasive and noninvasive tests to be conducted to rule out, or monitor, organ toxicities. Please select which routine tests are considered noninvasive: (Select all that apply)

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

Explanation

The nurse knows that montelukast (Singulair) is given for what purpose?

Correct Answer is D

Explanation

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