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 B

Explanation

A. Diarrhea: While diarrhea can occur in some cases of ovarian cancer, it is not one of the most common manifestations.
B. Unexplained weight loss: Unexplained weight loss is a common symptom of ovarian cancer and may be due to factors such as cancer-related cachexia or decreased appetite.
C. Urinary retention: Urinary retention is not a typical manifestation of ovarian cancer. Urinary symptoms may occur if the cancer spreads to nearby structures, but urinary retention is not
common.

D. Abdominal bloating: Abdominal bloating is a common symptom of ovarian cancer, often accompanied by feelings of fullness and increased abdominal girth. It is often one of the earliest and most noticeable symptoms of the disease.

A. Urine sample has Bence-Jones protein. B. Patient is complaining of severe back pain. C. Serum calcium level is 15 mg/dL. D. Patient reports no stool for 5 days.

Correct Answer is C

Explanation

A. Presence of Bence-Jones protein in the urine is indicative of multiple myeloma, but hypercalcemia is a more urgent issue to address.
B. Severe back pain is common in multiple myeloma due to bone involvement, but it is not as immediately life-threatening as hypercalcemia.
C. Elevated serum calcium levels (hypercalcemia) are a common complication of multiple myeloma and can lead to various complications, including kidney damage, altered mental status, and cardiac arrhythmias. Therefore, it is crucial to report significantly elevated serum calcium levels promptly to the health care provider for appropriate management.
D. Patient reports no stool for 5 days may indicate constipation, which is important to address but is not as urgent as hypercalcemia in the context of multiple myeloma.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a provider's office is collecting data from a client who has ovarian cancer. Which of the following manifestations should the nurse expect?

Correct Answer is B

Explanation

Which information obtained by the nurse assessing a patient admitted with multiple myeloma is most important to report to the health care provider?

Correct Answer is C

Explanation

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