The nurse understands that the type of precautions needed for children receiving chemotherapy is based on which side effect of chemotherapeutic medications?
Elevated white blood count (WBC).
Bone marrow suppression.
T-cell mediated hypersensitivity.
Stomatitis.
The Correct Answer is B
Choice A reason: An elevated white blood count (WBC) is not typically a side effect of chemotherapy; in fact, chemotherapy often leads to a decreased WBC count.
Choice B reason: This is the correct choice. Bone marrow suppression is a common side effect of chemotherapy, leading to a decreased production of blood cells and necessitating precautions to prevent infection.
Choice C reason: T-cell mediated hypersensitivity is not a common side effect of chemotherapy that would dictate the type of precautions needed.
Choice D reason: Stomatitis is a possible side effect of chemotherapy, but it does not primarily determine the type of precautions required as bone marrow suppression does.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Severe fatigue is a symptom that can be associated with many conditions and is not specific to Wilms tumor.
Choice B reason: This is the correct choice. A palpable abdominal mass is often the first sign of a Wilms tumor that prompts medical evaluation.
Choice C reason: Seizures are not typically associated with Wilms tumor.
Choice D reason: Hematuria can occur with Wilms tumor, but it is not as common as the presentation of an abdominal mass.
Correct Answer is A
Explanation
Choice A reason: This is the correct choice. A Hemoglobin A1C level of 6.2% is within the target range for most adults with diabetes and indicates good blood sugar control over the past 2 to 3 months.
Choice B reason: A fasting plasma glucose of 189 mg/dL is above the target range for fasting blood sugar levels, indicating that the client may not be adhering to the diabetic regimen.
Choice C reason: While an HDL of 40 mg/dL is at the lower limit of the normal range, it does not provide direct information about blood sugar control.
Choice D reason: A postprandial plasma glucose of 225 mg/dL is above the target range for after-meal blood sugar levels, suggesting that the client's diabetes is not well-controlled.
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