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 C

Explanation

A. "My provider will prescribe prophylactic antibiotics."

While antibiotics may be prescribed if there is a bacterial infection or exacerbation, they are not typically used prophylactically in all cases of mild emphysema.

B. "My condition is reversible with proper medications."

Emphysema is a chronic and typically irreversible condition. While medications can help manage symptoms and improve quality of life, they do not generally reverse the damage caused by emphysema.

C. "I should use albuterol (Proventil) when my symptoms worsen."

Albuterol (Proventil) is a short-acting beta-agonist bronchodilator, and it is commonly used as a rescue inhaler to provide quick relief of symptoms such as shortness of breath and wheezing in patients with conditions like emphysema. Using albuterol as needed during symptom exacerbations aligns with appropriate management of mild emphysema.

D. "I will need to take oral prednisone on a daily basis."

Daily use of oral prednisone is not a standard treatment for mild emphysema. Prednisone is a corticosteroid that may be used in certain situations, such as during exacerbations, but its long-term use carries potential risks and is generally avoided unless necessary.

A. “02 @ 2L NC and titrate to keep SPO2 approximately 88-92%” B. “Prednisone 20 mg PO daily for one year” C. “Albuterol nebulizer treatment q 1 hour prn respiratory distress” D. “Cromolyn 20 mg inhaled via nebulization QID”

Correct Answer is C

Explanation

A. "O2 @ 2L NC and titrate to keep SPO2 approximately 88-92%"

While oxygen therapy is essential in COPD exacerbation, the specific target range may vary based on the patient's condition and arterial blood gas values. The nurse may need to assess the patient's response and adjust oxygen accordingly.

B. "Prednisone 20 mg PO daily for one year"

Prescribing prednisone at a dose of 20 mg PO daily for one year seems unusual for the treatment of a COPD exacerbation. Steroid therapy is commonly used in exacerbations, but the duration and dose may vary. This prescription may need clarification.

C. "Albuterol nebulizer treatment q 1 hour prn respiratory distress"

This prescription is consistent with the management of an exacerbation of COPD. Albuterol is a short-acting beta-agonist bronchodilator that is commonly used in the treatment of acute respiratory distress in patients with COPD. The "q 1 hour prn respiratory distress" indicates that the medication can be administered every 1 hour as needed for relief of respiratory distress during the exacerbation.

D. "Cromolyn 20 mg inhaled via nebulization QID"

Cromolyn is a mast cell stabilizer and is not typically a first-line medication for the treatment of COPD exacerbation. This prescription may warrant clarification, especially in the context of an acute exacerbation.

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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

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Correct Answer is C

Explanation

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Explanation

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