A client who is receiving chemotherapy for breast cancer is experiencing myelosuppression as a side effect of the treatment. Which of the following is a manifestation directly related to myelosuppression?

Mucositis and diarrhea

Nausea and vomiting

Fever and chills

Alopecia and weight loss

Answer and Explanation

The Correct Answer is C

A.   Mucositis and diarrhea are side effects commonly associated with chemotherapy but are not directly related to myelosuppression. These symptoms are due to the impact of chemotherapy on rapidly dividing cells in the gastrointestinal tract.
B.   Nausea and vomiting are common side effects of chemotherapy, primarily due to the treatment's impact on the gastrointestinal tract and the central nervous system.
C.   Fever and chills are manifestations directly related to myelosuppression. Myelosuppression leads to a decrease in white blood cells (leukocytes), which compromises the immune system. This increased susceptibility to infection can result in symptoms such as fever and chills. These symptoms are indicative of potential infections or sepsis, which are more common in patients with compromised immune systems due to myelosuppression.

D.   Alopecia (hair loss) and weight loss are common side effects of chemotherapy, but they are not directly related to myelosuppression. Alopecia results from the effects of chemotherapy on rapidly dividing hair follicle cells, while weight loss can be a consequence of changes in metabolism or appetite due to chemotherapy.

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Correct Answer is ["50"]

Explanation

Flow rate in gtt/min = (Volume in mL * Drop factor) / Time in minutes.
The prescribed volume is 150 mL/hr. Since there are 60 minutes in an hour, the time for one hour would be 60 minutes. The drop factor is 20 gtt/mL.
(150 mL/hr * 20 gtt/mL) / 60 min/hr = 3000 gtt/hr / 60 min/hr = 50 gtt/min.
Therefore, the nurse should set the manual IV infusion to deliver 50 gtt/min.

A. Multiple sclerosis (MS) B. Myasthenia gravis (MG) C. Guillain-Barre syndrome (GBS) D. Systemic lupus erythematosus (SLE)

Correct Answer is D

Explanation

A. MS is an autoimmune disorder affecting the central nervous system, not the kidneys.
B. MG is an autoimmune disorder affecting the neuromuscular junction, not the kidneys.
C. GBS is an autoimmune disorder affecting the peripheral nervous system, not the kidneys.
D. SLE is a systemic autoimmune disorder that can affect multiple organs, including the kidneys. Glomerulonephritis is a common complication of SLE.

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A client who is receiving chemotherapy for breast cancer is experiencing myelosuppression as a side effect of the treatment. Which of the following is a manifestation directly related to myelosuppression?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["50"]

Explanation

A nurse is caring for a client who has inflammation of the glomeruli which was discovered by a routine urinalysis. The nurse understands that which of the following autoimmune disorders can cause chronic glomerulonephritis?

Correct Answer is D

Explanation

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