The nurse is caring for a client who will undergo a cerebral biopsy for a brain tumor. The client's pre-operative teaching should include:

to continue the antiepileptic drug to prevent seizure activity

morphine will be administered post-op for adequate pain control

to continue taking the daily Aspirin until the day of surgery

to continue the use of alternative or complementary therapies with family approval

Answer and Explanation

The Correct Answer is A

A. Continuing antiepileptic drugs is crucial in patients with brain tumors, as these medications help prevent seizure activity, which is a common complication associated with brain tumors and surgical procedures.
B. While pain control is important, the specific medications used for postoperative pain management are determined after surgery; patients should be informed about general pain management strategies rather than specific drug administration.
C. Aspirin, an anticoagulant, should typically be stopped before surgery to reduce the risk of bleeding complications; therefore, patients should not continue taking it unless specifically directed by their healthcare provider.
D. Patients are usually advised to discontinue alternative or complementary therapies before surgery due to potential interactions with anesthesia or surgical procedures, and it should be clarified with the healthcare provider before proceeding.

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Correct Answer is B

Explanation

A. While a diet of soft foods and liquid protein may be beneficial for a client undergoing chemotherapy, it is not the most critical intervention related to thrombocytopenia. Nutritional needs can be managed but do not address the immediate risk of bleeding or injury.
B. Teaching safety in the home to reduce injury and falls is the most important intervention. Clients with thrombocytopenia have a significantly increased risk of bleeding and bruising, making it essential to prevent falls and injuries that could lead to serious complications.
C. Spacing activities throughout the day can help manage fatigue, but it is not as urgent as ensuring the client is safe from injuries related to low platelet counts.
D. Frequent hand hygiene is important to prevent infections, especially in immunocompromised patients, but it does not directly address the primary concern of preventing injuries related to thrombocytopenia.

A. Has no episodes of diarrhea. B. Maintains a normal hemoglobin level. C. Is able to tolerate oral fluid intake. D. Does not experience hair loss.

Correct Answer is C

Explanation

A. While no episodes of diarrhea may be beneficial, it is not a direct indicator of the effectiveness of ondansetron, which is used primarily to prevent nausea and vomiting.
B. Maintaining a normal hemoglobin level is not an expected outcome related to ondansetron, as it does not influence blood counts.
C. The ability to tolerate oral fluid intake indicates that the client is managing nausea effectively, demonstrating that ondansetron is working as intended.
D. Hair loss is a common side effect of many chemotherapeutic agents, and ondansetron does not affect this outcome. Therefore, it is not an appropriate indicator of the medication's effectiveness.

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The nurse is caring for a client who will undergo a cerebral biopsy for a brain tumor. The client's pre-operative teaching should include:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client receives chemotherapy with an agent that causes thrombocytopenia. Which intervention is most important to teach the client?

Correct Answer is B

Explanation

The nurse is evaluating a client's response to ondansetron following the administration of chemotherapy. Which finding indicates an expected outcome? The client:

Correct Answer is C

Explanation

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