A nurse is caring for a client who has been diagnosed with leukemia. The nurse's most recent assessment reveals the presence of ecchymoses on the client's sacral area and petechiae on the forearms. Based on the most recent assessment findings, the nurse should perform which action?
Place the client on protective isolation.
Initiate measures to prevent venous thromboembolism.
Initiate droplet precautions.
Check the client's most recent platelet level.
The Correct Answer is D
A. Protective isolation is not directly related to the symptoms of ecchymoses and petechiae but is more relevant for preventing infections in immunocompromised clients.
B. Measures to prevent venous thromboembolism are not the immediate concern given the bleeding symptoms; instead, managing platelet levels and bleeding risks is more critical.
C. Droplet precautions are not indicated based on the described symptoms, which are more related to bleeding disorders rather than infectious conditions requiring droplet precautions.
D. Checking the client's most recent platelet level is the most appropriate action because ecchymoses and petechiae are signs of potential thrombocytopenia (low platelet count), which is common in leukemia. Monitoring platelet levels will help determine if there is a need for interventions to address bleeding risks.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
D. Weight loss can help improve symptoms of polycystic ovarian syndrome (PCOS) by reducing insulin resistance and androgen levels, which are common issues in PCOS.
A. Thyroid function testing is not specifically related to PCOS management, though thyroid function should be monitored if there are symptoms of thyroid dysfunction.
B. A diet with a low glycemic index is generally recommended for managing PCOS, not a high glycemic index.
C. PCOS is associated with decreased fertility rather than increased fertility. Contraception might be recommended for menstrual regulation, but not necessarily two forms due to increased fertility.
Correct Answer is ["1.8"]
Explanation
Infusion rate (mL/hr) = Desired dose (units/hr) / Concentration of nitroglycerin (units/mL)
First, calculate the concentration of nitroglycerin in the IV bag:
- 100 mg / 250 mL = 0.4 mg/mL
Next, convert the desired dose from mcg/min to mg/hr:
- 12 mcg/min 60 min/hr = 720 mcg/hr = 0.72 mg/hr
Finally, plug the values into the formula:
- Infusion rate = 0.72 mg/hr / 0.4 mg/mL = 1.8 mL/hr
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.