An appropriate nursing intervention for a patient with non-Hodgkin's lymphoma whose platelet count drops to 18,000/μL during chemotherapy is to

check all stools for occult blood.

encourage fluids to 3000 mL/day.

provide oral hygiene every 2 hours.

check the temperature every 4 hours.

Answer and Explanation

The Correct Answer is A

A. Correct. A platelet count <20,000/μL increases bleeding risk. Checking for occult blood helps detect hidden gastrointestinal bleeding.

B. Incorrect. Hydration is important but does not directly address thrombocytopenia management.

C. Incorrect. While oral hygiene is important, frequent brushing could cause bleeding with low platelets.

D. Incorrect. Monitoring temperature is important for infection risk but does not address bleeding concerns.

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Correct Answer is B

Explanation

A. Labeling the mother as "overprotective" is dismissive and non-therapeutic.

B. This response uses therapeutic communication to explore the mother’s concerns without judgment, allowing for education and support.

C. Suggesting home-schooling may reinforce unnecessary restrictions and does not address the concern.

D. Agreeing outright does not help the mother understand that physical activity can be managed safely.

A. Bradycardia B. Fruity odor on the client's breath C. Vomiting D. Cool, clammy skin

Correct Answer is D

Explanation

A. Bradycardia is not a typical sign of hypoglycemia; tachycardia is more common.

B. A fruity odor on the breath is a sign of diabetic ketoacidosis (DKA) (hyperglycemia).

C. Vomiting is more common in hyperglycemia/DKA rather than hypoglycemia.

D. Hypoglycemia presents with cool, clammy skin, sweating, confusion, and tremors due to the release of epinephrine.

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An appropriate nursing intervention for a patient with non-Hodgkin's lymphoma whose platelet count drops to 18,000/μL during chemotherapy is to

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Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

A nurse is assessing a patient who has diabetes mellitus. Which of the following findings is a manifestation of hypoglycemia?

Correct Answer is D

Explanation

A nurse in an emergency department is caring for a patient who has diabetic ketoacidosis (DKA) and a blood glucose level of 925 mg/dL. The nurse should anticipate which of the following prescriptions from the provider?

A nurse is caring for a patient who has a T-4 spinal cord injury. Which of the following patient findings should the nurse identify as placing the at risk for developing autonomic dysreflexia?

Which of the following evaluation data would the nurse recognize that a patient with hyperosmolar hyperglycemic syndrome (HHS) has improved during the first 24 hours upon admission to the hospital?

A nurse working on a medical unit is caring for a patient who is placed on seizure precautions. Which of the following interventions should the nurse include in the patient's plan of care?

A nurse is providing teaching to a family of a patient who has a new diagnosis of epilepsy. Which of the following instructions should the nurse include in for the family to perform if the patient experiences a seizure?

An appropriate nursing intervention for a patient with non-Hodgkin's lymphoma whose platelet count drops to 18,000/μL during chemotherapy is to

A nurse is developing a teaching plan for a patient who has a new diagnosis of type 2 diabetes mellitus. Which of the following actions should the nurse plan to take first?

A nurse is preparing to administer a unit of red blood cells. The nurse's responsibility is to compare and verify the information on the blood label with the patient's information. The nurse should use which of the following as the priority source of verification?