Nokea
A patient receiving chemotherapy for treatment of cancer has a white blood cell count of 1600/mm3. This finding prompts a change in the plan of care to provide which intervention?
- A. Adequate fluid intake
- B. Protection from falls
- C. Protection against infection
- D. Frequent small nutritious snacks
Correct Answer: C
Rationale: The nurse needs to protect the patient against pathogens, monitor the patient for signs of infections, and respond aggressively if an infection occurs.
You may also like to solve these questions
Which statement is appropriate for a nurse to tell a patient before insertion of the radioactive implant?
- A. Nurses will always be available, but they will spend only short periods of time at your bedside.'
- B. Personal cleanliness is essential, so you will be given a complete bed bath each day.'
- C. Your diet will be changed to a high-fiber diet to encourage daily bowel movements.'
- D. Your bed linens will be completely changed each day to minimize radioactive contamination.'
Correct Answer: A
Rationale: Generally, it is recommended that the nurse spend short periods of time in the room of a patient with an implant. Baths and linen changes are not given daily. A low-residue diet is the norm to minimize peristalsis and bowel movements that might dislodge the implant.
A ___ test screens for occult blood in the stool.
Correct Answer: guaiac
Rationale: The guaiac test is a screening test for occult blood in the stool.
For which reason is seeking medical attention when any cancer warning signs occur frequently delayed?
- A. Difficulty accessing a health care provider or getting a referral consult.
- B. Lack of knowledge of the warning signs of cancer.
- C. Fear of the possible diagnosis of cancer and hoping signs will go away.
- D. Self-examination being complex and difficult to perform.
Correct Answer: C
Rationale: Seeking medical attention when any warning signs occur is frequently delayed because people fear the possible diagnosis of cancer and hope the signs and symptoms will just go away.
Which advice will the nurse provide to the patient who found a lump in her breast a week ago during breast self-examination?
- A. Arrange for an examination by her health care provider.
- B. Wait until her next ovulatory cycle and check the lump again.
- C. Postpone appointment until the lump enlarges.
- D. Apply warm, moist compresses.
Correct Answer: A
Rationale: Nurses should teach to all patients, both men and women, that any identifiable problem should be brought to the attention of a health care provider.
A patient has developed stomatitis from chemotherapy. Which intervention is appropriate for a patient with this condition?
- A. Instruction in the following of a liquid diet
- B. Using a commercial mouthwash after each meal
- C. Cleaning teeth with a cotton swab dipped in hydrogen peroxide
- D. Using a soft toothbrush
Correct Answer: D
Rationale: The use of a soft toothbrush to clean the teeth and rinsing with normal saline or soda will prevent added discomfort and bleeding.