Which lab value is a reliable indicator of bone marrow suppression in a patient receiving chemotherapy?

Total protein level

Serum potassium level

Erythrocyte sedimentation rate (ESR)

Platelet count

Answer and Explanation

The Correct Answer is D

A.   Total protein level. Total protein level does not directly indicate bone marrow suppression.
B.   Serum potassium level. Serum potassium level reflects electrolyte balance but is not specific for bone marrow suppression.
C.   Erythrocyte sedimentation rate (ESR). ESR can indicate inflammation but is not a reliable indicator of bone marrow suppression.
D.   Platelet count. Platelet count is a reliable indicator of bone marrow suppression because chemotherapy can significantly reduce platelet production, leading to thrombocytopenia.

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Free Nursing Study Resources

Correct Answer is ["A","B","C","D","E","F"]

Explanation

A. Remove restrictive clothing or objects from the patient: This helps to promote comfort and improve circulation.
B. Administer IV Morphine per MD order: Morphine is a common medication used to manage severe pain associated with sickle cell crisis.
C. Administer oxygen per MD order: Oxygen may be needed to improve oxygen saturation and support respiratory function, especially if the patient is hypoxic.
D. Place on NPO: This is appropriate in case the patient needs any procedures or interventions that require fasting.
E. Start intravenous fluids per MD order: Intravenous fluids help to hydrate the patient and improve blood flow, which can help alleviate symptoms of sickle cell crisis.
F. Keep patient on bed rest: Bed rest is important to conserve energy and minimize the risk of further complications during a sickle cell crisis.

A. "With your recurrent history, one of these times the cyst will be malignant." B. "I appreciate your concern regarding another surgical procedure. Would you like to discuss your concerns?" C. "The surgical procedure is minimal, and you will not have to be concerned after you learn the results." D. "A prolonged ovarian abnormality should be evaluated thoroughly."

Correct Answer is B

Explanation

A. "With your recurrent history, one of these times the cyst will be malignant.": This response is not appropriate as it may cause unnecessary fear and is not supportive or informative.
B. "I appreciate your concern regarding another surgical procedure. Would you like to discuss your concerns?": This response validates the client's feelings and opens a dialogue for further discussion, allowing the client to express her concerns and receive appropriate information and support.
C. "The surgical procedure is minimal, and you will not have to be concerned after you learn the results.": This response dismisses the client's concerns and does not provide an opportunity for discussion.
D. "A prolonged ovarian abnormality should be evaluated thoroughly.": While this statement is true, it does not address the client's immediate concerns and does not encourage an open
discussion.

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Which lab value is a reliable indicator of bone marrow suppression in a patient receiving chemotherapy?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A 16-year-old is admitted with sickle cell crisis. The patient has a pain scale rating of 10 and the following vital signs: HR 115, BP 120/82, RR 18, oxygen saturation 91%, temperature 101.4°F. Select all the appropriate nursing interventions for this patient at this time?

Correct Answer is ["A","B","C","D","E","F"]

Explanation

Correct Answer is B

Explanation

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