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 A

Explanation

Choice A rationale

Patients with hyperparathyroidism should maintain adequate hydration to help prevent kidney stones and other complications related to high calcium levels. Consuming less than 1 liter of fluid per day is insufficient and can lead to dehydration and increased calcium concentration in the blood, exacerbating the condition.

Choice B rationale

Regular physical activity, such as using a treadmill or walking, is beneficial for patients with hyperparathyroidism. Exercise helps to improve overall health, maintain bone density, and reduce the risk of complications associated with hypercalcemia.

Choice C rationale

A moderate-calcium, high-fiber diet is recommended for managing hyperparathyroidism. Adequate dietary fiber aids in digestion and helps prevent constipation, which is a common symptom of hypercalcemia. Moderating calcium intake is important to manage the condition.

Choice D rationale

Alendronate is a bisphosphonate medication that helps to prevent bone resorption and reduce calcium release into the bloodstream. It is an effective treatment for managing hyperparathyroidism and helps to maintain bone health. .

A. Dysmenorrhea. B. Constipation. C. Sore throat. D. Increased urine output.

Correct Answer is C

Explanation

Choice A rationale

Dysmenorrhea, or painful menstrual cramps, is not a common side effect of propylthiouracil (PTU). PTU is used to manage hyperthyroidism, and it primarily affects the thyroid gland and related metabolic processes. Dysmenorrhea is typically related to reproductive system disorders and hormonal changes, rather than the medication for thyroid conditions.

Choice B rationale

Constipation is also not a typical symptom associated with propylthiouracil (PTU). PTU's effects are focused on thyroid hormone production, and constipation is more commonly related to other factors such as diet, hydration, and gastrointestinal conditions. Reporting constipation would not be as relevant in the context of PTU therapy.

Choice C rationale

Sore throat is a significant symptom to report as it can indicate agranulocytosis, a rare but severe side effect of propylthiouracil (PTU). Agranulocytosis is a condition where the body has a dangerously low number of white blood cells, which compromises the immune system, making infections more likely and harder to fight off. Early detection and intervention are crucial to prevent serious complications.

Choice D rationale

Increased urine output is not typically associated with propylthiouracil (PTU). While changes in metabolism can occur, increased urine output is more often related to other conditions such as diabetes mellitus or diuretic use. Reporting this symptom would not directly relate to PTU therapy.

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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.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is teaching a patient with hyperparathyroidism how to manage the condition at home.Which response by the patient indicates the need for additional teaching?

Correct Answer is A

Explanation

The nurse is providing discharge instructions to a patient with Graves' disease who has a prescription for propylthiouracil (PTU) 300 mg orally every 8 hours.Which symptom will the nurse teach the patient to report to the healthcare provider?

Correct Answer is C

Explanation

The nurse is caring for a patient with recurrent prostate cancer who is scheduled to begin treatment with immunotherapy medication.During patient teaching, which statement by the patient will indicate a need for further teaching by the nurse?

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

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