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Which lab value is a reliable indicator of bone marrow suppression in a patient receiving chemotherapy?

A.

Total protein level

B.

Serum potassium level

C.

Erythrocyte sedimentation rate (ESR)

D.

Platelet count

Answer and Explanation

The Correct Answer is D

A.    Total protein level. Total protein level does not directly indicate bone marrow suppression.
B.    Serum potassium level. Serum potassium level reflects electrolyte balance but is not specific for bone marrow suppression.
C.    Erythrocyte sedimentation rate (ESR). ESR can indicate inflammation but is not a reliable indicator of bone marrow suppression. 
D.    Platelet count. Platelet count is a reliable indicator of bone marrow suppression because chemotherapy can significantly reduce platelet production, leading to thrombocytopenia.
 


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Related Questions

Correct Answer is B

Explanation

A. An endometrial biopsy. This test is used to diagnose endometrial cancer, not cervical cancer.
B. Papanicolaou test. The Pap test (Papanicolaou test) is the preferred and standard method for detecting cervical cancer by identifying precancerous or cancerous cells on the cervix.
C. CA 125. CA 125 is a tumor marker that is often used in the detection and management of ovarian cancer, not cervical cancer.
D. Transvaginal ultrasound. This imaging test is typically used to evaluate ovarian and endometrial abnormalities but is not the preferred method for detecting cervical cancer.

Correct Answer is ["A","B","C","D","E","F"]

Explanation

A. Remove restrictive clothing or objects from the patient: This helps to promote comfort and improve circulation.
B. Administer IV Morphine per MD order: Morphine is a common medication used to manage severe pain associated with sickle cell crisis.
C. Administer oxygen per MD order: Oxygen may be needed to improve oxygen saturation and support respiratory function, especially if the patient is hypoxic.
D. Place on NPO: This is appropriate in case the patient needs any procedures or interventions that require fasting.
E. Start intravenous fluids per MD order: Intravenous fluids help to hydrate the patient and improve blood flow, which can help alleviate symptoms of sickle cell crisis.
F. Keep patient on bed rest: Bed rest is important to conserve energy and minimize the risk of further complications during a sickle cell crisis.

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