A nurse is caring for a client who is receiving cisplatin to treat bladder cancer.
After several treatments, the client reports fatigue.
Which of the following actions should the nurse take?
Examine the client for hepatomegaly.
Assess the client for a hypersensitivity reaction.
Check the results of the client's most recent CBC.
Evaluate the client for hypercalcemia.
The Correct Answer is C
Choice A rationale
Examining the client for hepatomegaly can be part of a broader assessment but does not directly address the fatigue related to chemotherapy, particularly cisplatin, which is known to cause bone marrow suppression.
Choice B rationale
Assessing for a hypersensitivity reaction is important during chemotherapy, but it does not specifically address the issue of fatigue, which is often related to blood cell counts.
Choice C rationale
Checking the results of the client's most recent CBC (complete blood count) is crucial because cisplatin can cause anemia, leukopenia, and thrombocytopenia, all of which can lead to significant fatigue.
Choice D rationale
Evaluating for hypercalcemia is not typically associated with cisplatin treatment; it is more relevant in malignancies associated with bone metastasis or overproduction of parathyroid hormone-related protein.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Applying powder to sensitive skin areas can cause dryness and irritation, exacerbating SLE symptoms. Powders can also block pores, increasing the risk of skin infections.
Choice B rationale
Using a strong protein shampoo is not relevant to managing SLE. It won't address the photosensitivity or skin issues commonly associated with SLE.
Choice C rationale
Sun protection is crucial for SLE patients due to photosensitivity. UV exposure can trigger flare-ups, making a sun-blocking agent with SPF 30 or higher essential for skin protection.
Choice D rationale
Moisturizing lotions help prevent dryness and protect the skin barrier, which is important in SLE management. Avoiding them can lead to skin complications.
Correct Answer is B
Explanation
Choice A rationale
Metastatic bone cancer does not typically result in an increase in platelet count. Platelets are involved in blood clotting, and their levels are not usually affected by bone metastases.
Choice B rationale
Calcium levels are often increased in clients with metastatic bone cancer due to the breakdown of bone tissue releasing calcium into the bloodstream.
Choice C rationale
Absolute neutrophil count (ANC) is not typically increased in metastatic bone cancer. ANC levels are more directly related to infections and bone marrow function.
Choice D rationale
White blood cell (WBC) count is not typically increased in metastatic bone cancer. Elevated WBC levels are more commonly associated with infection or inflammation.
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.