A nurse is caring for a client who has myelosuppression after receiving chemotherapy. The nurse should monitor the client for which of the following adverse effects?

Anorexia and malnutrition

Diarrhea and dehydration

Bleeding from the gums

Full body alopecia

Answer and Explanation

The Correct Answer is C

A. Anorexia and malnutrition - While these may occur due to chemotherapy, they are not directly caused by myelosuppression.

B. Diarrhea and dehydration - These symptoms might be side effects of chemotherapy but are not specific to myelosuppression.

C. Bleeding from the gums - Myelosuppression can lead to thrombocytopenia (low platelet count), increasing the risk of bleeding, including from gums and other mucous membranes.

D. Full body alopecia - Alopecia is a common side effect of chemotherapy but is not related to myelosuppression.

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Correct Answer is A

Explanation

A. “I need something for the pain in my eye. I can't stand it." Severe pain after cataract surgery is unusual and could indicate complications such as increased intraocular pressure or infection. This should be reported immediately to the provider for further evaluation.

B. "It’s hard to see with a patch on one eye. I'm afraid of falling": This is a common concern and relates to mobility safety, not a sign of a surgical complication.

C. "My eye really itches, but I'm trying not to rub it.": Itching can be a normal response post-surgery due to healing. Patients should avoid rubbing the eye, and this does not necessarily indicate a complication.

D. "The bright light in this room is really bothering me.": Photophobia or sensitivity to light can be common postoperatively and is usually not a sign of a serious issue.

A. 2 hr after obtaining blood from the blood bank B. When the client states he is ready to start the infusion C. As soon as the nurse can prepare the client and the administration set D. when the client has finished eating lunch

Correct Answer is C

Explanation

A. 2 hr after obtaining blood from the blood bank. Blood should be started as soon as possible, ideally within 30 minutes to minimize the risk of bacterial growth. Waiting for 2 hours is not appropriate.

B. When the client states he is ready to start the infusion. The client’s readiness should be considered, but the timing should be based on clinical guidelines and safety protocols, not just the client’s preference.

C. As soon as the nurse can prepare the client and the administration set. Blood products should be infused as soon as possible after preparation to reduce the risk of bacterial contamination and ensure efficacy.

D. When the client has finished eating lunch. The infusion timing should not be delayed for non-essential reasons like meal completion unless the client is experiencing issues that could interfere with the transfusion.

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A nurse is caring for a client who has myelosuppression after receiving chemotherapy. The nurse should monitor the client for which of the following adverse effects?

Nursing Test Bank

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