A nurse is caring for a client who has cancer and is undergoing chemotherapy.

Exhibits

Which of the following assessments indicates an improvement in the client's condition?

(Select all that apply.)

WBC count

Platelet count

Bleeding episodes

Oral health

Weight change

Answer and Explanation

Correct Answer : A,C,D

A.   In January, WBC count was 5,500/mm3. In February, it decreased to 4,500/mm3. A decrease in WBC count indicates an improvement in the client's condition, suggesting a potential reduction in chemotherapy-related immunosuppression.
B.   In January, platelet count was 150,000/mm3. In February, it decreased slightly to 140,000/mm3. The slight decrease in platelet count may not necessarily indicate improvement but is relatively stable.
C.   In January, the client reported bleeding episodes from mouth ulcers. In February, the client reports no bleeding episodes. The absence of bleeding episodes indicates improvement in oral mucosal health and potential effectiveness of interventions.
D.   In January, the oral mucosa was inflamed. In February, there is noted improvement with less inflammation. Improved oral health with reduced inflammation indicates a positive response to interventions and potentially better oral hygiene practices.
E.   The client experienced weight loss of 1.5 kg (3.3 lb) from January to February. Weight loss may indicate ongoing challenges with nutrition despite efforts to increase food intake and manage symptoms.

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Correct Answer is D

Explanation

A. Whole blood is not specifically indicated in response to smallpox exposure.
B. Antibiotics may be used for certain biological agents but are not effective against viruses like smallpox.
C. Atropine is used for treating certain types of poisoning and nerve agent exposures, not for smallpox.
D. Vaccine is crucial in response to smallpox as it can prevent infection if administered shortly after exposure or at the onset of symptoms.

A. Remove both of the elastic bandages from the leg B. Obtain a prescription for pain medication. C. Discharge the client. D. Obtain a prescription for the appropriate anti-venom.

Correct Answer is D

Explanation

A. Removing the elastic bandages could lead to rapid systemic absorption of venom, increasing the severity of envenomation.
B. Pain management is important but secondary to administering anti-venom in cases of snakebite.
C. Discharging the client without proper evaluation and treatment for potential envenomation could lead to serious complications.
D. Administering the appropriate anti-venom is critical to neutralize venom effects and prevent worsening of symptoms.

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A nurse is caring for a client who has cancer and is undergoing chemotherapy. Exhibits Which of the following assessments indicates an improvement in the client's condition? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When requested to plan the response to the potential use of smallpox as a biological weapon, what should the emergency department (ED) nurse manager expect to obtain?

Correct Answer is D

Explanation

A nurse in an emergency department is assessing a client who was bitten on the left leg by a poisonous snake. The client has placed elastic bandages snuggly above and below the bite marks and is in no apparent distress. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

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A nurse is caring for a client who has cancer and is undergoing chemotherapy.

Exhibits

Which of the following assessments indicates an improvement in the client's condition?

(Select all that apply.)