The nurse caring for an older adult with a diagnosis of leukemia would encourage the client to use an electric razor. What is the rationale for this statement by the nurse?

The client is not at risk for infection from microorganisms.

Trauma and microabrasions from a non-electric razor may contribute to anemia.

Strong tissues and intact clotting mechanisms may prevent hemorrhage.

The client is at risk for spontaneous and uncontrolled bleeding.

Answer and Explanation

The Correct Answer is D

A. The client is not at risk for infection from microorganisms: Leukemia and its treatment often cause immunosuppression, making clients more vulnerable to infections. This statement is inaccurate in the context of leukemia care.
B. Trauma and microabrasions from a non-electric razor may contribute to anemia: Minor skin injuries do not directly cause anemia, which in leukemia results from bone marrow suppression. However, these injuries can lead to bleeding, which is a greater concern.
C. Strong tissues and intact clotting mechanisms may prevent hemorrhage: Clients with leukemia often have impaired clotting due to thrombocytopenia. Assuming normal clotting is inappropriate, as these clients may bleed excessively even with minor trauma.
D. The client is at risk for spontaneous and uncontrolled bleeding: Thrombocytopenia is common in leukemia, increasing the risk of bleeding from even minor cuts. An electric razor minimizes the chance of skin injury and is a safety measure to prevent hemorrhage.

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Correct Answer is A

Explanation

A. Administer benzodiazepine as ordered: Benzodiazepines are the first-line treatment for alcohol withdrawal because they reduce central nervous system hyperexcitability, preventing seizures and delirium tremens. The client's elevated vital signs indicate severe withdrawal, requiring immediate pharmacologic intervention.
B. Provide emotional support: Emotional support is important, but in acute alcohol withdrawal with signs of autonomic hyperactivity, stabilizing the patient medically takes precedence over psychosocial interventions.
C. Encourage the client to rest: While rest may help reduce stimulation, it is not sufficient to control severe withdrawal symptoms. The client needs medication to prevent progression to life-threatening complications.
D. Monitor for any further changes: Ongoing monitoring is necessary, but immediate action is required first. Waiting without intervention in the face of escalating symptoms can lead to worsening instability, including seizures or hypertensive crisis.

A. The spleen is lymphoid tissue in the upper chest that contains stem cells. B. The spleen assists with blood clotting. C. The spleen is a large lymph node and takes waste debris away. D. The spleen is a lymphatic structure and assists with phagocytosis

Correct Answer is D

Explanation

A. The spleen is lymphoid tissue in the upper chest that contains stem cells: The spleen is located in the left upper abdomen, not the chest, and it does not house hematopoietic stem cells. While it is lymphoid tissue, it does not primarily contain stem cells; stem cells are mainly found in the bone marrow.
B. The spleen assists with blood clotting: While the spleen stores platelets, its primary function is not clotting. It plays a secondary role in hemostasis but is more essential for filtering blood and immune responses.
C. The spleen is a large lymph node and takes waste debris away: The spleen is not a lymph node, although both are part of the lymphatic system. Lymph nodes filter lymph fluid, while the spleen filters blood. While the spleen does remove waste debris (through phagocytosis), it's not accurate to describe it as a large lymph node.
D. The spleen is a lymphatic structure and assists with phagocytosis: The spleen plays a critical role in immune defense by filtering blood, removing pathogens, and facilitating phagocytosis of old or damaged cells. Preserving it reduces the risk of overwhelming infections.

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The nurse caring for an older adult with a diagnosis of leukemia would encourage the client to use an electric razor. What is the rationale for this statement by the nurse?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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