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 B

Explanation

A. While renal calculi (kidney stones) can cause renal issues, they are not directly related to diminished renal output in this scenario. Hypovolemia, or low blood volume, is more pertinent to the patient's presentation of scant voiding and inability to eat or drink.
B. Diminished renal output, as evidenced by scant voiding, can be indicative of hypovolemia. Hypovolemia reduces kidney perfusion, leading to decreased urine output as the kidneys conserve fluid.
C. While inactivity can contribute to various health issues, it's not directly related to diminished renal output in this case. The primary concern is addressing the immediate physiological impact of decreased renal function.

D. While nephrotoxic drugs can impair renal function, there's no indication in the scenario that the patient has been exposed to such drugs. Thus, they are not directly relevant to the current situation.

A. Liver disease B. Lupus C. Pneumonia D. Renal disease

Correct Answer is C

Explanation

A. While a splenectomy can lead to increased workload on the liver, it does not directly predispose the patient to liver disease.
B. A history of splenectomy does not specifically increase the risk of lupus.

C. Patients who have undergone splenectomy are at increased risk of certain infections, particularly encapsulated bacteria such as Streptococcus pneumoniae, which can cause pneumonia.
D. A history of splenectomy does not directly increase the risk of renal disease.

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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

Correct Answer is B

Explanation

The nurse is taking a health history and notes the patient has a history of a splenectomy. For which condition is this patient at risk?

Correct Answer is C

Explanation

You are caring for this team of patients. Which patient is the priority to see first to collect data?

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