A nurse is caring for a client receiving chemotherapy. The nurse should identify that a client who has myelosuppression is at risk for which of the following conditions?

Diarrhea and dehydration

Anorexia and malnutrition

Full body alopecia

Bleeding from the gums

Answer and Explanation

The Correct Answer is D

A.   These symptoms are more commonly associated with gastrointestinal side effects of chemotherapy.
B.   These symptoms are common due to the impact of chemotherapy on the gastrointestinal system.
C.   Hair loss is a common side effect of chemotherapy, but it is not associated with myelosuppression.
D.   Myelosuppression can lead to decreased platelet production, resulting in an increased risk of bleeding, including gum bleeding.

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Correct Answer is D

Explanation

A. Fever is not a common side effect of allopurinol.
B. Allopurinol is usually taken with food to minimize gastrointestinal upset.
C. If a rash develops, the client should stop taking allopurinol and notify their healthcare provider rather than self-medicating with an antihistamine.
D. Drinking an adequate amount of water helps prevent kidney stones, a potential side effect of allopurinol.

A. Butterfly rash on the face B. Ulnar deviation C. Heberden’s nodes D. Bouchard’s nodes

Correct Answer is B

Explanation

A. A butterfly rash on the face is associated with systemic lupus erythematosus (SLE), not rheumatoid arthritis.
B. Ulnar deviation of the joints is a characteristic finding in rheumatoid arthritis, caused by inflammation and destruction of the joint structures.
C. Heberden’s nodes are associated with osteoarthritis, not rheumatoid arthritis.
D. Bouchard’s nodes are also associated with osteoarthritis, not rheumatoid arthritis.

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A nurse is caring for a client receiving chemotherapy. The nurse should identify that a client who has myelosuppression is at risk for which of the following conditions?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who is about to start taking allopurinol to treat gout. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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