Nokea
A client with cancer who is receiving chemotherapeutic drugs has been given injections of (pegfilgastrin) Neulasta. Which laboratory value reveals that the drug is producing the desired effect?
- A. Hemoglobin of 13.5 g/dL
- B. White blood cells count of 6,000/mm
- C. Platelet count of 300,000/mm
- D. HCT 39%
Correct Answer: B
Rationale: Pegfilgrastim (Neulasta) stimulates white blood cell production. A WBC count of 6,000/mm indicates the drug is effective in preventing neutropenia.
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The school nurse assessed and referred a 14-year-old with scoliosis. An 18° curvature of the spine was diagnosed. Which treatment plan would the nurse expect?
- A. Application of a Milwaukee brace
- B. Electrical stimulation to the outward side of the curve
- C. Re-evaluation, with no treatment at this time
- D. Surgical realignment of the spine
Correct Answer: C
Rationale: An 18° scoliosis curvature is mild and typically monitored with re-evaluation, as bracing or surgery is reserved for curvatures >25° or >40°, respectively.
The nurse is assisting in the assessment of the patient admitted with 'extreme abdominal pain.' The nurse asks the client about the medication that he has been taking because:
- A. Interactions between medications will cause abdominal pain.
- B. Various medications taken by mouth can affect the alimentary tract.
- C. This will provide an opportunity to educate the patient regarding the medications used.
- D. The types of medications might be attributable to an abdominal pathology not already identified.
Correct Answer: D
Rationale: Medications can cause or exacerbate abdominal pathology, making it essential to assess their role in the patient's symptoms.
The most appropriate means of rehydration of a 7-month-old with diarrhea and mild dehydration is:
- A. Oral rehydration therapy with an electrolyte solution
- B. Replacing milk-based formula with a lactose-free formula
- C. Administering intraveneous Dextrose 5% 1/4 normal saline
- D. Offering bananas, rice, and applesauce along with oral fluids
Correct Answer: A
Rationale: Oral rehydration therapy with electrolyte solutions is the standard for mild dehydration in infants, as it effectively restores fluid and electrolyte balance.
The nurse is the first person to arrive at the scene of a motor vehicle accident. When rendering aid to the victim, the nurse should give priority to:
- A. Establishing a patent airway
- B. Checking the quality of respirations
- C. Observing for signs of active bleeding
- D. Determining the level of consciousness
Correct Answer: A
Rationale: Establishing a patent airway is the top priority in trauma care to ensure oxygenation and prevent hypoxia.
A toddler with otitis media has just completed antibiotic therapy. A recheck appointment should be made to:
- A. Determine whether the ear infection has affected her hearing
- B. Make sure that she has taken all the antibiotic
- C. Document that the infection has completely cleared
- D. Obtain a new prescription, in case the infection recurs
Correct Answer: C
Rationale: A recheck appointment confirms that the otitis media has resolved, ensuring no residual infection or complications.