The nurse is caring for a client with ovarian cancer. The client is to receive chemotherapy consisting of paclitaxel and carboplatin. For What adverse eﬀect of this treatment should the nurse look out for?

Leukopenia

Metabolic acidosis

Hyperphosphatemia

Respiratory alkalosis

Answer and Explanation

The Correct Answer is A

A. Leukopenia: Chemotherapy with paclitaxel and carboplatin can cause myelosuppression, leading to a significant decrease in white blood cells (leukopenia). This makes the client more susceptible to infections and is a common and serious adverse effect that the nurse should monitor closely.

B. Metabolic acidosis: This condition is less commonly associated with chemotherapy agents like paclitaxel and carboplatin. It usually results from conditions like renal failure, diabetic ketoacidosis, or severe diarrhea rather than chemotherapy.

C. Hyperphosphatemia: This electrolyte imbalance is not a typical adverse effect of paclitaxel and carboplatin. It is more commonly associated with conditions like chronic kidney disease or excessive phosphate intake.

D. Respiratory alkalosis: This condition is typically caused by hyperventilation and is not a known direct adverse effect of paclitaxel and carboplatin chemotherapy. The nurse should monitor for more common side effects related to chemotherapy, such as leukopenia.

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Correct Answer is D

Explanation

IVF is a complex and involved process that involves hormonal stimulation, egg retrieval, fertilization in a laboratory setting, and then transfer of the resulting embryo(s) to the uterus. It is not a simple or easy procedure, and it also carries risks such as multiple gestations, ovarian hyperstimulation syndrome, and ectopic pregnancy. The other statements are accurate and indicate a good understanding of infertility issues.

A. Intense itching and dysuria B. Hemorrhagic cervix and vagina C. Pruritic, frosty greenish or gray discharge D. Thick white cottage cheese-like discharge

Correct Answer is A

Explanation

a. Intense itching and dysuria

d. Thick white cottage cheese-like discharge

Common symptoms of a yeast infection may include itching, burning, and redness in the vaginal area. Some women may also experience pain or discomfort during sexual intercourse or while urinating. It is important for the nurse to conduct a thorough assessment and obtain a detailed history from the student to determine the appropriate course of action, such as recommending over-the-counter treatments or referring the student to a healthcare provider for further evaluation and treatment.

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The nurse is caring for a client with ovarian cancer. The client is to receive chemotherapy consisting of paclitaxel and carboplatin. For What adverse eﬀect of this treatment should the nurse look out for?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The charge nurse is teaching a new graduate nurse about infertility issues. What statement by the graduate nurse indicates the need for further teaching?

Correct Answer is D

Explanation

You are the nurse at a community high school. A student calls the office and says she thinks she has a “yeast infection”. What signs and symptoms should the nurse expect?

Correct Answer is A

Explanation

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