A nurse is reviewing the laboratory results of a client who has acute leukemia and received an aggressive chemotherapy treatment 10 days ago. Which of the following hematologic laboratory values should the nurse expect? (Select all that apply.)

Increased hemoglobin count

Decreased leukocyte count

Decreased platelet count

Decreased erythrocyte count

Increased platelet count

Answer and Explanation

Correct Answer : B,C,D

A.   Aggressive chemotherapy often leads to a decrease in red blood cell production due to the suppression of bone marrow activity. Therefore, we would expect a decreased hemoglobin count rather than an increased one.
B.   Chemotherapy targets rapidly dividing cells, which includes not only cancer cells but also normal cells in the bone marrow, leading to a decreased leukocyte (white blood cell) count. This condition is known as leukopenia and increases the risk of infections.
C.   Similar to leukocytes, platelet production is also affected by chemotherapy, resulting in a decreased platelet count (thrombocytopenia). This can lead to increased bleeding risk and bruising.
D.   Chemotherapy can cause a decrease in erythrocytes (red blood cells) due to its impact on the bone marrow. This is part of the broader condition known as anemia, which is common in patients undergoing aggressive cancer treatments.
E.   Following aggressive chemotherapy, we would not expect an increased platelet count. Instead, the count is typically decreased due to the effects of the treatment on the bone marrow.

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Correct Answer is A

Explanation

A. This statement reflects an active effort to adapt to the new circumstances. The client is utilizing adaptive equipment and recognizing their progress, even if there are still challenges. This shows resilience and a willingness to engage in self-care, indicating positive adaptation.
B. While this statement indicates the client has the necessary equipment, preferring a bed bath suggests a lack of willingness to engage with the shower setup. This may reflect resistance to trying new methods of independence, indicating less adaptation to the home environment.
C. This statement suggests the client is avoiding social interactions and activities outside the home. It indicates a level of withdrawal and a possible struggle with adjustment, rather than an adaptation to their new lifestyle.
D. This statement does not necessarily reflect healthy adaptation. While enjoying life is important, reliance on alcohol for pleasure may suggest avoidance of other coping mechanisms or activities that could promote better adaptation. It may indicate an unhealthy adjustment to their situation.

A. Temperature B. Apical heart rate C. Blood pressure D. Respiratory rate

Correct Answer is D

Explanation

A. While monitoring temperature can be important in assessing for infection or other complications post-surgery, it is not the priority assessment directly related to the administration of morphine. Temperature does not provide immediate information about the patient's respiratory status or opioid effects.
B. Monitoring the apical heart rate is important, especially in patients who may have cardiovascular issues or who are taking medications that can affect heart rate. However, it is not the most immediate concern when administering morphine, as the primary risk with opioids is respiratory depression rather than significant changes in heart rate.
C. Blood pressure is an important vital sign to assess, especially after surgery, but the risk of morphine primarily involves respiratory function. While changes in blood pressure can occur with opioid use, they are less critical compared to assessing the respiratory rate.
D. This is the correct priority assessment before administering morphine. Opioids like morphine can cause respiratory depression, which is a serious side effect. Monitoring the respiratory rate allows the nurse to identify any signs of respiratory distress or depression, ensuring that the patient is safe to receive the medication.

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A nurse is reviewing the laboratory results of a client who has acute leukemia and received an aggressive chemotherapy treatment 10 days ago. Which of the following hematologic laboratory values should the nurse expect? (Select all that apply.)

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Naxlex Comprehensive Predictor Exams

A home health nurse is caring for a client who is quadriplegic following a spinal cord injury and who is adjusting to the home environment. Which of the following client statements indicate the client is adapting?

Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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