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A patient with acute myeloid leukemia has a neutrophil count that persists at less than 100 mm3. What should the nurse cautiously monitor this patient for
Which assessment findings support the client’s diagnosis of AML (acute myeloid leukemia)? Select all that apply. a) Bone pain b) Enlarged lymph nodes c) Enlarged heart d) Weakness and fatigue e) Petechiae
a) Bone pain, b) Enlarged lymph nodes, d) Weakness and fatigue, e) Petechiae Explanation: Clients with AML may present with petechiae, enlarged lymph nodes, weakness, fatigue, and bone pain. An enlarged heart is not a typical finding with this disorder.
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“The nurse is caring for a client diagnosed with acute myeloid leukemia. Which assess-ment data warrant immediate intervention? 1.T 99, P 102, R 22, and BP 132/68. 2.Hyperplasia of the gums. 3.Weakness and fatigue. 4.Pain in the left upper quadrant.”
“Correct: 4 1.These vital signs are not alarming. The vitalsigns are slightly elevated and indicate moni-toring at intervals, but they do not indicate animmediate need. 2.Hyperplasia of the gums is a symptom of myeloid leukemia, but it is not an emergency. 3.Weakness and fatigue are symptoms of thedisease and are expected. 4.Pain is expected, but it is a priority, andpain control measures should be imple-mented.”
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the nurse is planning care for a patient with acute myeloid leukemia. which interventions ware priorities for this patient? (select all that apply) 1. place in private room 2. request soft bland diet 3. monitor rectal temperature every 4 hours 4. assist with oral hygiene after meals 5. implement airborne infection control precautions
1. place in a private room 2. request soft , bland diet 4. assist with oral hygiene after meals because acute myeloid leukemia causes both neutropenia and thrombocytopenia, with resulting increased risk for infection and bleeding so a private room and oral hygiene help reduce infection risk and a soft, bland diet reduces trauma to oral mucosal membranes.
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Terry is a Physician Assistant. She is working under the supervision of Dr. Elizabeth Carroll. Terry trusts Dr. Carroll and knows she is an extremely competent and compassionate doctor. They have been a team for about two years, and it works out perfectly because Terry is a morning person and Dr. Carroll is not. Unless there is a difficult case, Terry makes all the early morning rounds of Dr. Carroll’s patients at the two local hospitals, and then goes home for an early lunch with her kindergartner son. Later, she sees non-critical care patients at Dr. Carroll’s office for a few hours. Unless there is a seriously ill patient, Dr. Carroll will start work a little later in the morning and end her day with the evening rounds at the hospital. This morning, Terry is checking in on a new patient, Mr. Lane, at St. John’s Hospital. Mr. Lane has a history of acute myeloid leukemia (AML), and Dr. Carroll admitted him yesterday. According to the chart, Mr. Lane had a blood transfusion yesterday afternoon. Dr. Carroll noted on the chart that Mr. Lane was doing well at 7:00 p.m. However, she noted Mr. Lane may need an additional unit of blood if his blood oxygen values did not return to normal ranges soon. The chart indicates that Mr. Lane had just started receiving an additional unit. Terry enters the room and finds Mr. Lane experiencing chills and shortness of breath. Terry quickly takes the patient’s vital signs. She notes that Mr. Lane’s heart rate is high, his blood pressure low, and he has a fever. Mr. Lane is alert and complaining that he feels horrible. Terry talks to the floor nurse and finds that she has already stopped the transfusion and alerted the charge nurse, the doctor on call, and Dr. Carroll. The patient is most likely experiencing __________. Select the correct answer an autoimmune disease a type I hypersensitivity an immunodeficiency disease a transfusion reaction
a tranfusion reaction
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