The nurse is caring for a client diagnosed with acute myelogenous leukemia (AML) who is receiving outpatient chemotherapy. What should the nurse include in the teaching plan for this client?

Increase the use of humidifiers throughout the house

Encourage stress reducing home activities such as gardening.

Notify the primary care provider if the rectal temperature exceeds 100.2 F

Avoid fresh vegetables that are not cooked or peeled

Answer and Explanation

Correct Answer : C,D

A. Using humidifiers can help maintain moisture in the air, which is beneficial if the client is experiencing dry mucous membranes or respiratory discomfort, especially due to chemotherapy. However, while this can be helpful, it’s not the most critical teaching point compared to other options related to infection risk or symptoms monitoring.
B. While engaging in stress-reducing activities is important for overall well-being, gardening may pose specific risks for a client with AML, particularly concerning exposure to soil and potential pathogens. Activities should be carefully considered to avoid any risks of infection or physical strain.
C. Clients with AML, especially those undergoing chemotherapy, have a higher risk of infections due to neutropenia (low white blood cell count). A fever of 100.2°F or higher can be a sign of infection and requires prompt medical evaluation. Thus, this is a crucial point for the client to understand.
D. Fresh vegetables that are not cooked or peeled can harbor bacteria and other pathogens that could pose a risk of infection, especially in immunocompromised patients. Clients undergoing chemotherapy should avoid raw foods that can increase the risk of infections.

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Correct Answer is B

Explanation

A. Limiting fluids with meals is not a recommended practice for preventing prostatitis. Staying hydrated is generally encouraged to promote urinary health. This option does not address the prevention of prostatitis recurrence.
B. This is a good instruction. Frequent voiding helps reduce the risk of urinary stasis and potential bacterial growth in the urinary tract, which can contribute to prostatitis. Encouraging the client to empty their bladder regularly is beneficial in preventing recurrence.
C. While monitoring PSA levels can be important for assessing prostate health, it is not a direct preventive measure for prostatitis recurrence. PSA tests are primarily used to screen for prostate cancer or monitor prostate conditions rather than prevent prostatitis itself.
D. This recommendation is not appropriate for preventing prostatitis. While caffeine may irritate the bladder and prostate, decaffeinated drinks typically do not have the same effect and can be a good source of hydration. Avoiding decaffeinated drinks does not contribute to prostatitis prevention.

A. cancer antigen 125 (CA-125) and serum ceruloplasmin. B. human chorionic gonadotropin (hCG) and alpha-fetoprotein (AFP). C. serum erythropoietin (EPO) and carcinoembryonic antigen (CEA). D. prostate specific antigen (PSA) and human chorionic gonadotropin (hCG).

Correct Answer is B

Explanation

A. CA-125 is primarily associated with ovarian cancer and is not a relevant tumor marker for testicular cancer. Serum ceruloplasmin is a copper-carrying protein that can be elevated in various conditions, but it is not specific for testicular cancer. Therefore, this option is not appropriate.
B. Both hCG and AFP are tumor markers specifically associated with testicular cancer. Elevated levels of these markers can indicate the presence of non-seminomatous testicular tumors. Monitoring these markers is essential for diagnosis, assessing treatment response, and detecting recurrence.
C. EPO is involved in red blood cell production and is not a tumor marker for testicular cancer. CEA is primarily associated with colorectal cancer and some other malignancies, but it is not specific for testicular cancer.
D. PSA is a tumor marker associated with prostate cancer, not testicular cancer. While hCG is relevant for testicular cancer, the inclusion of PSA makes this option inappropriate for a client with testicular cancer.

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The nurse is caring for a client diagnosed with acute myelogenous leukemia (AML) who is receiving outpatient chemotherapy. What should the nurse include in the teaching plan for this client?

Nursing Test Bank

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Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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