6 a client with cancer received platelet infusions 24

6. A client with cancer received platelet infusions 24 hours ago. Which of the following assessment
findings would indicate the most therapeutic effect from the transfusions?
A. A Hgb level decrease from 8.9 to 8.7
B. A temperature reading of 99.4
C. A white blood cell count of 11,000
D. A decrease in oozing of blood from the IV site
7. The nurse is caring for a client receiving chemotherapy who is experiencing neutropenia. Which
intervention would be most appropriate to include in the client’s plan of care?
8. A client with cancer becomes emaciated, requiring TPN to provide adequate nutrition. The nurse
finds the TPN bag empty. Which fluid would the nurse select to hang until another bag is prepared
in the pharmacy?

9. The nurse is caring for a client with possible cervical cancer. What clinical data would the nurse
most expect to find in the client’s history?
10. A client is scheduled to undergo a bone marrow aspiration. Which position would the nurse assist
the client into for this procedure?
A. Dorsal recumbent
B. Supine
C. High Fowler’s
D. Lithotomy
1. Answer A is correct. Fluid administration is important to flush the drug through the renal system to
prevent damage. Cisplatin can cause renal damage. Answers B, C, and D would not be important
interventions with the drug administration, so they are incorrect.
Answer Rationales

2. Answer B is correct. Hypercalcemia is a common occurrence with cancer of the bone. The
potassium level is elevated but does not relate to the diagnosis, so answer A is incorrect. Answers
C and D are both normal levels, so they are incorrect.
3. Answer C is correct. The client is at risk for an air embolus. Placing the client in this position
displaces air away from the right ventricle. Answers B and D would not help, so they are incorrect,
and answer A would not be done first, so it’s incorrect.
4. Answer B is correct. A catheter allows urine elimination without possible disruption of the implant.
There is usually no restriction on TV or phone use, so answer A is incorrect. The client is placed on
a low residue diet, so answer C is incorrect. The client’s radiation is not internal; therefore, there
are no special precautions with excretions, making answer D incorrect.
5. Answer A is correct. This drug can cause cardiotoxicity exhibited by changes in the ECG and
congestive heart failure. Rales and distended neck veins are clinical manifestations of congestive
heart failure, so answer A is correct. A reddish discoloration to the urine is a harmless side effect,
so answer B is incorrect. An elevated BUN and dry, flaky skin are not specific to this drug, so
answers C and D are incorrect.