The nurse is caring for a patient with lymphoma who is receiving chemotherapy.
The patient's laboratory results are below.
What interventions will the nurse implement related to these results? ANC (Absolute neutrophil count): 2400/mm³. Hemoglobin: 8.4 g/dL. Hematocrit: 25.9%. Platelets: 6,000/mm³.

Implement neutropenic precautions and administer broad-spectrum antibiotics.

Implement contact isolation precautions and administer intravenous prednisone.

Implement bleeding precautions and administer platelet transfusion.

Implement bedrest and administer packed red blood cell transfusion.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Neutropenic precautions and broad-spectrum antibiotics are indicated for patients with neutropenia to prevent infections. However, the patient's ANC is within the normal range (2400/mm³), so these measures are not necessary. This choice does not address the low hemoglobin and platelet count.

Choice B rationale

Contact isolation precautions and intravenous prednisone are not relevant to the patient's current condition. Prednisone is an immunosuppressive corticosteroid used for inflammatory and autoimmune conditions, but it does not address the patient's anemia or thrombocytopenia.

Choice C rationale

Bleeding precautions and platelet transfusion are appropriate interventions for the patient. The platelet count is critically low (6,000/mm³), putting the patient at high risk for spontaneous bleeding. Platelet transfusion is needed to increase platelet levels and reduce bleeding risk. Bleeding precautions, such as avoiding invasive procedures and using gentle oral care, help minimize the risk of hemorrhage.

Choice D rationale

Bedrest and packed red blood cell transfusion address the patient's anemia (hemoglobin 8.4 g/dL, hematocrit 25.9%). While these interventions are necessary to improve oxygen-carrying capacity, they do not address the critical issue of thrombocytopenia. Combining interventions C and D would be ideal for comprehensive care, but based on the question, Choice C is most critical for immediate bleeding risk management. .

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Correct Answer is C

Explanation

Choice A rationale

Regular insulin 10 units subcutaneous is used to lower blood glucose levels in hyperkalemia. While insulin can help shift potassium into cells, it is not indicated for hypercalcemia or hyperparathyroidism. Regular insulin would not address the elevated calcium levels in this patient.

Choice B rationale

Chlorothiazide 750 mg intravenous is a diuretic that can increase calcium reabsorption in the kidneys, potentially worsening hypercalcemia. It is contraindicated in hyperparathyroidism because it can exacerbate the high calcium levels and associated symptoms.

Choice C rationale

Calcitonin 300 international units subcutaneous is the correct choice for this patient. Calcitonin inhibits osteoclast activity, reducing bone resorption and lowering serum calcium levels. It provides rapid but short-term control of hypercalcemia, which is crucial for managing acute symptoms of hyperparathyroidism.

Choice D rationale

Calcitriol 0.75 mcg orally is an active form of vitamin D that increases calcium absorption in the gut. It is used to manage hypocalcemia, not hypercalcemia. Administering calcitriol would further elevate the already high calcium levels, worsening the patient's condition.

A. A reduced-calorie diet, high in nutrients. B. Small, frequent meals, high in protein and carbohydrates. C. Three large, bland meals a day. D. A diet high in fiber and plant-sourced fat.

Correct Answer is B

Explanation

Choice A rationale

While a reduced-calorie diet may be helpful in some conditions, patients with hyperthyroidism typically require high-calorie diets due to their elevated metabolic rate.

Choice B rationale

Small, frequent meals high in protein and carbohydrates help to meet the increased metabolic demands and prevent muscle wasting in hyperthyroid patients.

Choice C rationale

Large, bland meals are not ideal as patients with hyperthyroidism have high metabolic rates and may require more frequent nutrient intake.

Choice D rationale

While fiber is beneficial for digestive health, it does not specifically address the high metabolic needs of hyperthyroid patients.

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The nurse is caring for a patient with lymphoma who is receiving chemotherapy.The patient's laboratory results are below.What interventions will the nurse implement related to these results? ANC (Absolute neutrophil count): 2400/mm³. Hemoglobin: 8.4 g/dL. Hematocrit: 25.9%. Platelets: 6,000/mm³.

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Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

The nurse is planning the care of a patient with hyperthyroidism.What should the nurse specify in the patient's meal plan?

Correct Answer is B

Explanation

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