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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Remind the client that gonorrhea is a virus, therefore it cannot be cured. Gonorrhea is a bacterial infection caused by Neisseria gonorrhoeae and can be treated with antibiotics.
B. Instruct the client about preventing reinfection by using a diaphragm. While diaphragms can be a method of contraception, they are not effective at preventing sexually transmitted infections like gonorrhea.
C. Check for the presence of a primary lesion or chancre. Primary lesions or chancres are associated with syphilis, not gonorrhea.
D. Obtain information about the client's recent sexual partners. It is important to obtain information about recent sexual partners to notify them and prevent the spread of the infection.
Correct Answer is B
Explanation
A. Radiation exposure: Radiation exposure can cause aplastic anemia, but if the cause is unknown, it is less likely to be due to a specific and identifiable event like radiation exposure.
B. An autoimmune disorder: When the cause of aplastic anemia cannot be diagnosed, it is often attributed to an autoimmune disorder where the body attacks its own bone marrow cells.
C. Chemotherapy drugs: Chemotherapy drugs can cause aplastic anemia, but this cause would typically be known based on the patient's medical history.
D. Toxins: Toxins can cause aplastic anemia, but like chemotherapy drugs and radiation, this cause would generally be identifiable.
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