Nokea
Which is an appropriate intervention for a patient experiencing thrombocytopenia?
- A. Requesting an order for aspirin for discomfort
- B. Trimming toenails close
- C. Using an electric razor
- D. Vigorous tooth cleaning
Correct Answer: C
Rationale: The patient should be taught to use an electric shaver. Thrombocytopenia is a reduction in the number of circulating platelets, due to the depression of the bone marrow. When the platelet count is less than 20,000/mm3, spontaneous bleeding can occur.
You may also like to solve these questions
A male patient is undergoing external radiation therapy on an outpatient basis for treatment of Hodgkin disease. After 2 weeks of treatment, he tells the nurse that he is so tired he can hardly get out of bed in the morning. Which is an appropriate intervention?
- A. Take two rest periods during the day.
- B. Ambulate in the hall four times a day.
- C. Select two activities for distraction.
- D. Investigate a consultation with a psychiatrist for treatment of depression.
Correct Answer: A
Rationale: The person undergoing radiation therapy should be assured that lethargy and fatigue are not uncommon during treatment, and that frequent rest periods are helpful. Periods of rest are very beneficial.
A patient who has malignant cancer secondary to a high-grade lymphoma has been admitted with muscle weakness, tetany, paresthesia, and convulsion. The nurse notices the patient is being treated for tumor lysis syndrome (TLS) and initial treatment has not been successful. The nurse will prepare the patient to undergo which procedure?
- A. Whole blood transfusion
- B. A bone marrow biopsy
- C. Immediate radiation treatment
- D. Dialysis
Correct Answer: D
Rationale: If hydration and administration of diuretics and allopurinol are not effective, dialysis may be necessary.
Which characteristic is common in malignant tumors?
- A. Usually contained within a capsule.
- B. Divide and multiply in the same manner as normal cells.
- C. Proliferate and respond to treatment.
- D. Progress and destroy surrounding tissues while spreading to distant parts of the body.
Correct Answer: D
Rationale: Malignant tumors destroy surrounding tissues and may spread to distant parts of the body causing a secondary tumor to grow in that area. Malignant cells divide and multiply but not in the same manner as normal parent cells and are rarely contained within a capsule.
What is the function of organizations like The Lost Chord Club, Reach for Recovery, and I Can Cope?
- A. Arrange for transportation to a clinic.
- B. Provide a small amount of financial support to patients.
- C. Send volunteers to speak with a person facing a lifestyle change.
- D. Arrange for reduced drug costs.
Correct Answer: C
Rationale: Support groups like The Lost Chord Club, Reach for Recovery, and I Can Cope are available to send volunteers to talk with persons facing lifestyle changes because of cancer.
The nurse is aware that American men and women have which site for cancer in common?
- A. Lung
- B. Brain
- C. Colon
- D. Liver
- E. Rectum
- F. Thyroid
Correct Answer: A,C,E
Rationale: The three common cancer sites that American men and women share are cancer of the lung, colon, and rectum.