Which finding is most important to monitor when caring for a patient with leukemia?

Bowel sounds

Temperature

Heart rate

Skin integrity

Answer and Explanation

The Correct Answer is B

A.   While monitoring bowel sounds is important for assessing gastrointestinal function, it is not the most critical parameter to monitor in a patient with leukemia.
B.   Fever can indicate infection, which is a common complication in patients with leukemia due to compromised immune function from the disease and its treatments.
C.   Monitoring heart rate is important, but it may not be the most crucial parameter to monitor unless there are specific cardiac concerns.
D.   Skin integrity should be monitored, but it may not be the most important parameter to monitor unless there are concerns about skin breakdown or infections.

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Correct Answer is D

Explanation

A. Heat application may provide comfort for localized pain but does not address the underlying cause of hypercalcemia, which requires systemic management.
B. While rest may be beneficial for certain conditions, it does not directly address hypercalcemia. Encouraging mobility and adequate fluid intake is typically more effective.
C. Coughing and deep breathing exercises are important for preventing respiratory complications after surgery but are not relevant for managing hypercalcemia.
D. Increasing fluid intake promotes hydration and enhances urinary calcium excretion, helping to lower serum calcium levels and minimize complications associated with hypercalcemia

A. Avoid showering for 1 week B. Receive a yearly flu vaccine. C. Stay on antibiotics for life. D. Sleep in a semi-Fowler position.

Correct Answer is B

Explanation

A. Showering is not typically restricted after a splenectomy. Good hygiene practices, including regular showering, are important for preventing infection.
B. Patients who have undergone a splenectomy are at increased risk of infections, particularly from encapsulated bacteria such as Streptococcus pneumoniae. Yearly flu vaccination helps reduce the risk of influenza-related complications.
C. Long-term antibiotic prophylaxis is not routinely recommended for all patients after splenectomy. Antibiotics may be prescribed in certain situations, such as for postsplenectomy sepsis prevention, but lifelong use is not standard practice.
D. Sleeping position is not directly related to infection prevention after splenectomy.

General infection prevention measures, such as vaccination and avoiding exposure to sick individuals, are more important.

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Which finding is most important to monitor when caring for a patient with leukemia?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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