A nurse is reviewing the medical record for a client who has acute leukemia
Select words from the choices to fill in each blank in the following sentence The client is at risk for developing
andThe Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"B"}
Bleeding: The client's platelet count has dropped from 160,000/mm³ to 100,000/mm³, which is below the normal range (150,000 to 400,000/mm³). Platelets are essential for blood clotting, and a low count increases the risk of bleeding. Additionally, the prolonged PT (13.5 seconds) and elevated INR (2.2) further indicate a tendency toward bleeding.
Infection: The client's WBC count remains elevated at 15,500/mm³, which can be indicative of ongoing infection or inflammation. Patients with acute leukemia often have dysfunctional white blood cells, which impairs their ability to fight infections effectively.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Tight fitting clothes may put pressure on the T-tube insertion site and interfere with drainage. Loose-fitting clothing is recommended.
B. Showering is typically preferred over baths to keep the T-tube site clean and dry.
Baths may increase the risk of infection.
C. Regular emptying of the drainage bag helps prevent excessive weight, which can pull on the T-tube and cause discomfort or displacement. However, it should necessarily be emptied at the same time each day.
D. Securing the tubing to clothing helps prevent accidental dislodgment or pulling on the T-tube, reducing the risk of complications.
Correct Answer is D
Explanation
A. Energy drinks containing caffeine can exacerbate palpitations and should be avoided.
B. Alcohol, including red wine, can trigger or worsen palpitations and should be limited or avoided.
C. Potassium-rich foods are not typically associated with palpitations. In fact, maintaining normal potassium levels is important for heart health.
D. Caffeine can trigger palpitations in susceptible individuals, so switching to decaffeinated coffee may help reduce symptoms.
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