The nurse is monitoring a client who has severe bone marrow suppression following antineoplastic drug therapy. Which is considered a principal early sign of infection?
Tachycardia
Elevated white blood cells
Fever
Diaphoresis
The Correct Answer is C
immunosuppression with no pool of white blood cells to fight against infection, fever occurs as a result of production of inflammatory markers against infection
B. In bone marrow suppression the white blood cells are low
A, D. Are general symptoms that could be as a result of other non-infective pathologies
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D"]
Explanation
methotrexate interferes with DNA synthesis which may affect all rapidly dividing cells including hair follicles, oral epithelial lining and bone marrow cells involved in fighting against infections
A. Hair loss is expected
B, E. Methotrexate should be taken with a lot of fluid to flush down the drug to minimize nausea and vomiting
Correct Answer is ["B","C","D","E"]
Explanation
A. vancomycin can be nephrotoxic and fluid restriction is inappropriate
B. Slow infusion of vancomycin is key to avoid flush reactions
C. Normal trough levels for vancomycin are 10-20mcg/ml- 24mcg/ml increases risk of toxicity
D. Monitoring serum creatinine monitors for renal damage
E. Vancomycin can cause hearing loss and clients should be advised any early signs of ototoxicitysuch as ear fullness
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