Nokea
Because many antineoplastic drugs affect bone marrow function, which laboratory test is most important to monitor for client safety?
- A. Mean cell volume
- B. Total leukocyte count
- C. Differential cell count
- D. Complete blood count
Correct Answer: D
Rationale: A complete blood count monitors red cells, white cells, and platelets, detecting bone marrow suppression caused by antineoplastic drugs.
You may also like to solve these questions
The nurse correctly informs the client that the breast self-examination (BSE) technique involves palpating each breast moving in small concentric circles, following imaginary spokes in a wheel, or moving in rows from superior to inferior stress of the breast. Besides the breast, which other body area is essential to palpate?
- A. The axillae
- B. The sternum
- C. The clavicles
- D. The ribs
Correct Answer: A
Rationale: The axillae (armpits) contain lymph nodes that drain the breast, and palpating this area is essential to detect any abnormal lymph node enlargement, which could indicate breast pathology.
When the nurse provides the client with pretest instructions, which statement is most correct?
- A. You'll need to fast from midnight the night before the test.
- B. You'll need to empty your bladder just before the test begins.
- C. You'll need to consume at least a quart of water an hour before the test.
- D. You'll need to self-administer an enema 1 hour before the test.
Correct Answer: C
Rationale: A full bladder is required for a transabdominal prostate sonogram to provide a clear acoustic window for imaging.
The nurse is teaching the client diagnosed with uterine prolapse. Which information should the nurse include in the discussion?
- A. Increase fluids and daily exercise to prevent constipation.
- B. Explain there is only one acceptable treatment for uterine prolapse.
- C. Instruct the client to visually check the uterine prolapse daily.
- D. Discuss limiting coughing and lifting heavy objects.
Correct Answer: D
Rationale: Limiting coughing and heavy lifting reduces pelvic pressure, preventing prolapse worsening. Fluids and exercise aid bowel health but are secondary, multiple treatments exist, and daily visual checks are unnecessary.
Which should the nurse teach the client regarding Breast Health Awareness (BHA) according to the American Cancer Society (ACS). Select all that apply.
- A. Women at high risk should talk to the HCP about when to have a mammogram.
- B. Beginning at age 45, to have a yearly mammogram.
- C. To perform a breast self-examination (BSE) bimonthly.
- D. To get a sonogram of the breasts semiannually.
- E. To have Magnetic Resonance Imaging of the breasts every five (5) years.
Correct Answer: A,B
Rationale: ACS recommends high-risk women discuss mammogram timing with HCP and yearly mammograms from age 45. Bimonthly BSE, semiannual sonograms, and MRI every 5 years are not standard.
The client is being discharged after a left wedge resection. Which discharge instructions should the nurse include? Select all that apply.
- A. Notify the HCP of a temperature of 100°F.
- B. Carry large purses and bundles with the right hand.
- C. Do not go to church or anywhere with crowds.
- D. Try to keep the arm as still as possible until seen by the HCP.
- E. Have a mammogram of the right and left breasts yearly.
Correct Answer: A,B,E
Rationale: Notify HCP for fever (infection risk), use right hand for heavy items (protect left arm), and annual mammograms (continued screening) are appropriate. Avoiding crowds is unnecessary, and immobilizing the arm is not advised; gentle movement aids recovery.