A nurse is assisting with the plan of care for a client who has leukemia and whose platelet count is 50,000 mm. Which of the following interventions should the nurse include in the plan of care?

Use contact precautions.

Administer ibuprofen prior to assisting with ADLS

Measure rectal temperature every 4 hr.

Administer a stool softener.

Answer and Explanation

The Correct Answer is D

A.   Leukemia itself doesn't necessitate contact precautions unless there are other specific infectious concerns, which are not mentioned in this scenario.
B.   Ibuprofen is contraindicated in patients with low platelet counts due to the risk of bleeding. Therefore, administering ibuprofen would exacerbate the risk of bleeding in this patient.
C.   Invasive procedures like rectal temperature measurements should be avoided in patients with low platelet counts due to the risk of bleeding. Thus, this intervention increases the risk of harm to the patient.
D.   Patients with low platelet counts are at risk for bleeding, including gastrointestinal bleeding. Administering a stool softener can help prevent straining during bowel movements, reducing the risk of bleeding and promoting patient comfort and safety.

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Correct Answer is ["B","C","D"]

Explanation

A. Pain is not typically a primary side effect of chemotherapy for acute lymphocytic leukemia.
B. Chemotherapy for acute lymphocytic leukemia often involves high doses to target rapidly dividing cancer cells and induce remission.
C. Chemotherapy for acute lymphocytic leukemia aims to induce remission by destroying cancerous cells in the bone marrow and peripheral blood.
D. Chemotherapy can suppress the immune system, increasing the risk of infections and illness during treatment.

E. Chemotherapy for acute lymphocytic leukemia often involves multiple cycles of treatment, which may include different drugs and frequencies.

A. Bowel sounds B. Temperature C. Heart rate D. Skin integrity

Correct Answer is B

Explanation

A. While monitoring bowel sounds is important for assessing gastrointestinal function, it is not the most critical parameter to monitor in a patient with leukemia.
B. Fever can indicate infection, which is a common complication in patients with leukemia due to compromised immune function from the disease and its treatments.
C. Monitoring heart rate is important, but it may not be the most crucial parameter to monitor unless there are specific cardiac concerns.
D. Skin integrity should be monitored, but it may not be the most important parameter to monitor unless there are concerns about skin breakdown or infections.

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A nurse is assisting with the plan of care for a client who has leukemia and whose platelet count is 50,000 mm. Which of the following interventions should the nurse include in the plan of care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is ["B","C","D"]

Explanation

Which finding is most important to monitor when caring for a patient with leukemia?

Correct Answer is B

Explanation

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