When obtaining vital signs from a client who has reduced erythrocyte production and a hemoglobin level of 8.2 g/dL what results would be indicative of these lab studies?

Respiratory rate of 16 breaths/minute

Heart rate of 120 beats/minute

Oxygen saturation of 95%

Blood pressure of 140/90 mm Hg

Answer and Explanation

The Correct Answer is B

A. Respiratory rate of 16 breaths/minute: A normal respiratory rate does not reflect the body's compensatory response to anemia. In moderate to severe anemia, the body typically increases respiratory effort to improve oxygen delivery.
B. Heart rate of 120 beats/minute: Tachycardia is a common compensatory mechanism in anemia. With reduced hemoglobin and oxygen-carrying capacity, the heart pumps faster to maintain adequate oxygen delivery to tissues.
C. Oxygen saturation of 95%: Oxygen saturation measures the percentage of hemoglobin saturated with oxygen, not the actual amount of hemoglobin. A normal reading can still occur despite overall reduced oxygen-carrying capacity.
D. Blood pressure of 140/90 mm Hg: This elevated blood pressure may be unrelated to anemia. Anemia often causes a drop in blood pressure or no significant change, depending on severity and fluid status.

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Correct Answer is B

Explanation

A. "I will receive chemotherapy until most of the cancer is gone, and then I will get my own stem cells back.": This correctly describes the autologous transplant process, where the client receives high-dose chemotherapy followed by reinfusion of their own previously harvested stem cells. This approach avoids donor-related complications.
B. "I hope they find a bone marrow donor who matches.": This indicates a misunderstanding, an autologous transplant uses the client’s own stem cells, not donor cells. Mentioning a donor implies confusion with an allogeneic transplant and signals the need for further teaching.
C. "I will need to be in protective isolation for up to 3 months after treatment.": This is accurate because high-dose chemotherapy destroys immune cells, leaving the client highly susceptible to infection. Protective isolation helps reduce the risk of life-threatening opportunistic infections during recovery.
D. "The doctor will remove cells from my bone marrow before beginning chemotherapy.": This statement aligns with the autologous transplant protocol. Stem cells are collected before chemotherapy begins to preserve them for later reinfusion, once the high-dose treatment is complete.

A. Male of Hispanic descent, age 28 years B. Female of African descent, age 42 years C. Female of Chinese descent, age 18 years D. Female of Caucasian descent age 47 years

Correct Answer is D

Explanation

A. Male of Hispanic descent, age 28 years: While chronic fatigue syndrome (CFS) can affect anyone, it is less common in young males. This demographic is not considered to be at high statistical risk compared to others.
B. Female of African descent, age 42 years: Middle-aged women are at increased risk for CFS; however, epidemiological data show a higher prevalence among Caucasian women, especially in their 40s to 50s.
C. Female of Chinese descent, age 18 years: CFS is less frequently diagnosed in adolescents and young adults. While females are more commonly affected, age and ethnicity make this client a lower-risk candidate.
D. Female of Caucasian descent age 47 years: CFS most commonly affects middle-aged women, particularly those of Caucasian descent. This demographic profile aligns closely with known risk patterns for chronic fatigue syndrome.

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When obtaining vital signs from a client who has reduced erythrocyte production and a hemoglobin level of 8.2 g/dL what results would be indicative of these lab studies?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client is scheduled for chemotherapy followed by autologous stem cell transplant. Which of the following statements by the client indicates a need for further teaching?

Correct Answer is B

Explanation

The nurse has four clients who are scheduled to see the physician for "fatigue" and other general symptom complaints. Which client does the nurse determine is at most risk for having chronic fatigue syndrome?

Correct Answer is D

Explanation

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