Which information will the nurse include when teaching a patient who is receiving chemotherapy for leukemia?

"The treatment has severe side effects, some of which will be permanent.”

"You need to use your call light to ask for help every time you get out of bed.”

"Prevention and early detection of infection are important during leukemia treatment.”

"Feeling isolated is a common and unavoidable consequence of leukemia treatment.”

Answer and Explanation

The Correct Answer is C

Choice A rationale:

While leukemia treatment does have severe side effects, not all of them are permanent. It is essential for the patient to be aware of potential complications but also to understand that some side effects might be temporary and can be managed with appropriate care.

Choice B rationale:

Using the call light to ask for help when getting out of bed is essential for patients receiving chemotherapy, as their immune system might be compromised, making them prone to infections and injuries. However, this information is not specific to leukemia treatment but is a general safety measure for these patients.

Choice C rationale:

Patients undergoing chemotherapy for leukemia are at an increased risk of infections due to the suppression of the immune system. Preventive measures, such as good hygiene practices and early detection of signs of infection, are crucial in managing these patients. Educating the patient about infection prevention is essential for their safety during treatment.

Choice D rationale:

Feeling isolated can be a common emotional response to any chronic illness, including leukemia. However, it is not an unavoidable consequence, and providing emotional support and involving the patient in support groups can help mitigate these feelings. This statement does not provide essential information about managing leukemia treatment.

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Correct Answer is B

Explanation

Choice A rationale:

Dizziness with a blood pressure of 150/92 mm Hg indicates hypertension, but it is not an immediate life-threatening condition requiring urgent assessment compared to a severe headache and vomiting.

Choice B rationale:

A severe headache and vomiting could be indicative of a serious neurological condition such as a stroke, intracranial bleeding, or increased intracranial pressure. This patient needs urgent assessment and intervention to prevent potential complications.

Choice C rationale:

A hip fracture with a pain level of 2 on a 1-to-10 scale suggests pain but is not immediately life-threatening compared to symptoms like severe headache and vomiting.

Choice D rationale:

Fatigue after receiving an ACE inhibitor is a common side effect and, while important to monitor, does not pose an immediate threat compared to the symptoms of severe headache and vomiting.

A. "I will take a walk daily.” B. "I will try to lose at least 20 pounds.” C. "I will put on my stockings after I get out of bed each day.” D. "I will not wear knee-high socks that are tight around my calf.”

Correct Answer is D

Explanation

Choice A rationale:

Taking a daily walk is a beneficial activity for patients with venous leg ulcers. Walking promotes blood circulation, which can aid in wound healing. This statement indicates that the patient understands the importance of physical activity for their condition.

Choice B rationale:

Trying to lose weight is another positive step for a patient with venous leg ulcers, especially if the patient is overweight. Excess body weight can put additional pressure on the veins in the legs, worsening venous insufficiency. Losing weight can alleviate this pressure and improve venous circulation, supporting the healing process of leg ulcers.

Choice C rationale:

Wearing stockings after getting out of bed is a proper technique for managing venous leg ulcers. Compression stockings help improve blood flow in the legs and reduce swelling, which is beneficial for patients with venous insufficiency and leg ulcers. This statement indicates that the patient understands the importance of wearing compression stockings consistently.

Choice D rationale:

Not wearing knee-high socks that are tight around the calf is essential advice for patients with venous leg ulcers. Tight clothing, including socks or stockings, can impede blood circulation in the legs, worsening venous insufficiency and delaying wound healing. This statement indicates the need for further education because the patient should avoid any tight clothing around the affected area to promote optimal blood flow and wound healing.

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Which information will the nurse include when teaching a patient who is receiving chemotherapy for leukemia?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse receives information about the assigned patients during shift report.Which patient would the nurse assess first?

Correct Answer is B

Explanation

The nurse provides discharge teaching to a patient with venous leg ulcers.Which statement made by the patient indicates the need for further education?

Correct Answer is D

Explanation

A patient is diagnosed with primary hypertension and asks the nurse what caused the condition.Which response would the nurse give?

A patient reports episodic chest pain lasting a few minutes that is provoked by exertion and relieved within 10 minutes upon resting.Which cause of the patient's symptoms would the nurse suspect?

Which manifestation is related to target organ disease from hypertension? Select all that apply.One, some, or all responses may be correct.

After noting that a patient with leukemia has thrombocytopenia, which action will the nurse plan to take?

The nurse provides education to a patient about the symptoms of uncontrolled hypertension.Which symptom would the nurse include? Select all that apply.One, some, or all responses may be correct.

The nurse is teaching a patient about the administration of liquid iron supplements. Which response by the patient indicates the need for additional teaching?

A patient reports leg pain that awakens the patient at night.The patient reports that the same pain develops in the legs when they are elevated and disappears when the legs are dangled.Which condition would the nurse suspect?

The nurse receives a health care provider's prescription to change a patient's IV from D5. half-normal saline with 40 mEq KCl/L to DSNS with 20 mEq KCl/L. Which set of serum laboratory values supports the rationale for this IV prescription change?