The nurse is monitoring a client who has severe bone marrow suppression following antineoplastic drug therapy. Which is considered a principal early sign of infection?

Tachycardia

Elevated white blood cells

Fever

Diaphoresis

Answer and Explanation

The Correct Answer is C

immunosuppression with no pool of white blood cells to fight against infection, fever occurs as a result of production of inflammatory markers against infection

B. In bone marrow suppression the white blood cells are low

A, D. Are general symptoms that could be as a result of other non-infective pathologies

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Correct Answer is D

Explanation

D. Fluid retention due to leakage of fluid leads to increase in weight
A. Capillary leak syndrome leads wet cough
B. Capillary leak syndrome leads to flushing but not bruising of the skin
C. leads to tachycardia due to reduced effective volume

A. Mouthwashes and cough medicines that contain alcohol are safe because they are used in small amounts. B. This drug will cause the same effects as the alcohol did, without the euphoric effects. C. This drug is safe to take with warfarin. D. He needs to know about the common over-the-counter substances that contain alcohol.

Correct Answer is D

Explanation

Disulfiram blocks the metabolism of alcohol leading to unpleasant effects such as flushing, apprehension, headache, nausea and vomiting
A. Alcohol containing substances will cause the unpleasant effect when consumed
B. Disulfiram prevent metabolism of alcohol and hence has no similar effects to alcohol
C. When taken with warfarin, it increases the risk of bleeding

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The nurse is monitoring a client who has severe bone marrow suppression following antineoplastic drug therapy. Which is considered a principal early sign of infection?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

During a client's therapy with interleukins, the nurse monitors the client for capillary leak syndrome. Which assessment finding, if present, would indicate this problem?

Correct Answer is D

Explanation

A client is being treated for ethanol alcohol abuse in a rehabilitation center. The nurse will include which information when teaching him about disulfiram therapy?

Correct Answer is D

Explanation

A nurse is caring for a male client who has peripheral vascular disease (PVC)), is taking dietary supplements, and has a new prescription for warfarin. The nurse should instruct the client to stop which of the following supplements prior to starting the warfarin? (Select all that apply.)

A client has been taking lithium for 1 year, and the most recent lithium level is 0.9 rnEq/L. Which statement about the laboratory result is correct?

A client is receiving an aluminum-containing antacid. The nurse will inform the client to watch for which possible adverse effect?

A client is receiving heparin therapy as part of the treatment for a pulmonary embolism. The nurse monitors the results of which laboratory test to check the drug's effectiveness?

An older adult client will be taking a vasodilator for hypertension. Which adverse effect is of most concern for the older adult client taking this class of drug?

A nurse is caring for a client who has thrombophlebitis and is receiving heparin by continuous IV infusion. The client asks the nurse how long it will take for the heparin to dissolve the clot. Which of the following responses should the nurse give?

A nurse is preparing to administer a rectal suppository to a client. In which of the following positions should the nurse place the client for insertion of the suppository?

The nurse is providing counseling to a woman who is HIV positive and has just discovered that she is pregnant. Which anti-HIV drug is given to HIV-infected pregnant women to prevent transmission of the virus to the infant?