The Good Doctor
How many days after the start of radiation therapy should the nurse know that the threat of thrombocytopenia exists?
12
What health teaching on transmission precautions should be included for a client with infectious mononucleosis?
Avoid sharing food with anyone
What finding should the nurse report immediately because it indicates that the client requires neutropenic precautions?
Low white blood cell count
A nurse is reviewing the lab results of a client who has measles. The nurse should expect an increase in which white blood cells?
Lymphocytes
What nursing intervention is most important to implement before a liver or spleen scan?
Check for any allergies to contrast media
What is the primary function in the immune process of the spleen?
Filter microorganisms from the blood
To what level should the platelet count rise when the patient with a platelet count of 20,000/mm3 receives 1 unit of platelets?
25,000 to 30,000
What lab finding would confirm the diagnosis of polycythemia vera?
High hemoglobin level
What sign should a nurse report when caring for the patient with AIDS who has cutaneous Kaposi sarcoma?
Abdominal pain
What occurs with the sickle-shaped red blood cells during a sickle cell crisis?
They obstruct major arteries
Hydroxyurea is prescribed for a child with sickle cell anemia. What effect should the patient expect from the drug?
To produce a hemoglobin that resists sickling
An 11 year-old girl is diagnosed with idiopathic thrombocytopenic purpura (ITP). What should parental teaching include for this patient?
Avoid drugs containing sulfonamides
What is the major difference between fresh-frozen plasma(FFP) and cryoprecipitate (CPP)?
FFP contains all clotting factors except platelets
What is true concerning passive-acquired immunity?
Antibodies are acquired outside the host and instilled in the host
What should be a major focus in a teaching plan for a teenager with sickle cell anemia?
Maintain adequate hydration
A client is being discharged with a new prescription for erythropoietin. What instruction should the nurse give the patient?
Have your hemoglobin level checked twice per week
When is a patient with HIV considered to have progresses to AIDS?
CD4 cell level drops to 200
When the nursing team meets to develop a care plan for a client with idiopathic thrombocytopenia, what should be considered a nursing priority for the client?
Preventing injury
A client is admitted with a diagnosis of multiple myeloma. What type of infection control measure is appropriate when providing nursing care for this client?
Standard precautions
A newborn infant has developed significant jaundice and has a positive Coombs test resulting from high levels of bilirubin. What should the nurse be aware that these symptoms may indicate?
Hemolytic anemia
What is the highest nursing priority for a client immediately before and for several weeks after a bone marrow transplant?
Preventing infection
What is responsible for initiating the inflammatory response in addition to the immunoglobulin E (IgE)?
Basophils
What can chemotherapy and decreased bone marrow production cause in oncology patients?
Neutropenia
What is the most likely finding when the nurse palpates the cervical lymph nodes of a client who has Hodgkin's disease?
The lymph nodes are enlarged and painless
A nurse assesses a neutrophil count of 900 in a patient with acute leukemia. What should the nurse anticipate initiating?
Compromised host precautions