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

Total protein level

Serum potassium level

Erythrocyte sedimentation rate (ESR)

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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Correct Answer is ["C","D"]

Explanation

A. The patient experiences a decrease in hemoglobin S. Hydroxyurea does not decrease hemoglobin S levels directly; it works by increasing fetal hemoglobin (Hgb F) levels.
B. The patient experiences dehydration due to diuresis. This is not an indication that Hydroxyurea is working; it is a potential side effect that should be monitored.
C. The patient experiences an increase in fetal hemoglobin (Hbg F). Hydroxyurea works by increasing the levels of fetal hemoglobin, which reduces the sickling of red blood cells.
D. The patient needs fewer blood transfusions. Successful treatment with Hydroxyurea should reduce the frequency of vaso-occlusive crises and the need for blood transfusions.
E. The patient experiences diuresis. This is not an indicator of the medication's effectiveness; it is a potential side effect.

A. "Do you sleep well at night?" B. "Have you experienced increased hair growth?" C. "Have you been experiencing chills?" D. "When did you begin your menses?"

Correct Answer is A

Explanation

A. "Do you sleep well at night?" Sleep disturbances, including insomnia and night sweats, are common symptoms of menopause.
B. "Have you experienced increased hair growth?" Increased hair growth is not typically associated with menopause; rather, menopause is often associated with hair thinning or loss.
C. "Have you been experiencing chills?" Chills are not a common symptom of menopause; hot flashes and night sweats are more typical.
D. "When did you begin your menses?" This question is not relevant to confirming menopause symptoms, as it focuses on the onset of menstruation rather than menopausal changes.

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

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Naxlex Comprehensive Predictor Exams

An 18-year-old male is taking Hydroxyurea for treatment of sickle cell anemia. Which options below indicate this medication is working successfully?

Correct Answer is ["C","D"]

Explanation

Based on a client's recent history, a nurse suspects that a client is beginning menopause. Which of the following questions should the nurse ask the client to help confirm the client is experiencing manifestations of menopause?

Correct Answer is A

Explanation

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