A nurse is caring for a client who is receiving cisplatin for treatment of ovarian cancer. The client's most recent complete blood count (CBC) is shown in the table below. It is important for the nurse to consider which of the following for the client? WBC

1,400/mm3

RBC

4.3 x 1012/L

Hgb

Hct

Platelets

Albumin

12.1 g/dL

36.5%

170,000/mm3

5 g/dL

The client has an increased risk of infection.

The client should receive a diet with increased protein.

The client has an increased risk for bleeding.

The client should receive an erythropoiesis stimulating agent.

Answer and Explanation

Correct Answer : A,C

Answer: A. The client has an increased risk of infection.

Rationale: This is because the client's white blood cell (WBC) count is low, which indicates a compromised immune system. The normal range for WBC is 4,000 to 11,000/mm3. A low WBC count can be caused by chemotherapy, which is a common treatment for ovarian cancer. The nurse should monitor the client for signs of infection, such as fever, chills, redness, swelling, or drainage, and implement infection prevention measures, such as hand hygiene, sterile technique, and isolation precautions.

Answer: C. The client has an increased risk for bleeding.

Rationale: This is because the client's platelet count is low, which indicates a reduced ability to form clots and stop bleeding. The normal range for platelets is 150,000 to 400,000/mm3. A low platelet count can be caused by chemotherapy, which can damage the bone marrow where platelets are produced. The nurse should monitor the client for signs of bleeding, such as petechiae, ecchymosis, hematuria, or melena, and implement bleeding prevention measures, such as avoiding invasive procedures, applying pressure to puncture sites, and using soft-bristled toothbrushes.

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Correct Answer is C

Explanation

This is because HSV-1 typically causes oral herpes, which manifests as cold sores or fever blisters around the mouth or lips.

A. It is primarily transmitted through casual contact. B. It is primarily transmitted through mosquitoes. C. It is primarily transmitted through direct contact with infected body fluids. D. It is primarily transmitted through accidental puncture wounds.

Correct Answer is C

Explanation

This is because HIV is a virus that infects certain cells of the immune system, such as CD4 cells or T cells. HIV can be found in blood, semen, vaginal fluid, breast milk, and other body fluids that contain blood. HIV can be transmitted through sexual contact, sharing needles or syringes, mother-to-child transmission during pregnancy or breastfeeding, or occupational exposure to blood or body fluids.

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Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has viral rhinitis and a history of herpes simplex virus type 1 (HSV-1) lesions. The nurse should assess which of the following areas of the body for the recurrence of HSV-1 lesions?

Correct Answer is C

Explanation

A nurse is planning a presentation about HIV for a church-based group. Which of the following information about HIV transmission should the nurse include?

Correct Answer is C

Explanation

A nurse is caring for a client who has HIV. Which of the following laboratory values is the nurse's priority?

A nurse is planning care for a client who is being treated with chemotherapy and radiation for metastatic breast cancer, and who has neutropenia. The nurse should include which of the following restrictions in the client's plan of care?

A nurse is teaching a client who has hepatitis A about preventing transmission of the disease. Which is included in the teaching?

A nurse is caring for a client who is receiving mechanical ventilation and has an ideal weight of 60 kg. The nurse should expect the tidal volume to be set at which of the following?

A nurse is caring for a client who has a new diagnosis of systemic lupus erythematosus (SLE) and asks where this disease originates within the body. The nurse should tell the client that SLE originates in which of the following locations in the body?

A nurse is assessing a client who has asthma. Which of the following areas should the nurse evaluate as the most reliable indicator of central cyanosis?

A nurse is teaching a client who has tuberculosis and is to start medication therapy with isoniazid, rifampin and pyrazinamide. Which of the following instructions should the nurse include?

A nurse in a provider's office is assessing an older adult client whose son reports that the client has been sick with a respiratory illness for the past 6 days. Which of the following assessment findings is a manifestation of pneumonia in the older adult client?