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The nurse is caring for a 67-year-old client who has returned for a two-month follow up after completing the Rituximab + CHOP regimen for non-Hodgkin  Lymphoma.  Bloodwork reveals:  WBC Count    5,800/mm3 RBC Count      5.4 million/μL Hemoglobin     12.9 g/dL Platelets     251,000/mm3                                                                       The nurse would anticipate the following order from the HCP?

A client is receiving treatment for a new diagnosis of multiple myeloma. Based on known risk factors, age, ethnicity, and accompanying clinical conditions, which client is most likely to have this disease?

A client with a history of Hemophilia A presents to the emergency department with bleeding from a cut sustained when cleaning a knife. VS T 98.4, P 78, RR 16, B/P 110/70. What should be the nurse’s next action? 

A client with anemia has a hemoglobin of 6.2 g/dL, hematocrit 18, platelet count 140,000.  Which of the following assessment findings is the priority related to hypoxia from anemia?  

When developing a teaching plan for a client with a history of smoking, the nurse plans to review the 7 warning signs of cancer. Which of the following should the nurse include?

The nurse is providing education to a group of new nurses regarding endometriosis. While discussing known risk factors, which statement made by the new nurse is incorrect? 

A client who had a transurethral resection of the prostate (TURP) 1 day earlier now has a three-way Foley catheter inserted for continuous bladder irrigation. The Intake & Output (I&O) measurement is recorded each shift and is noted below. How much of the output is the true urine output for this client? IV 0.45 NaCl    1,000 mL CBI Irrigant      8,000 mL  PO intake            250 mL Total Output for 12 hours = 9,050 mL     

As the home health nurse, you are taking an admission history for a client who has deep vein thrombosis (DVT) and is taking warfarin 2 mg. daily. Which statement by the client is the best indicator that additional teaching about warfarin may be needed?

You are transferring a client with newly diagnosed Chronic Myeloid leukemia to an Extended Care Facility. Which information is most important to communicate to the Charge nurse at the Extended Care Facility? 

You are administering heparin and following the protocol below for a client weighing 189 lbs. The order is to administer an initial heparin bolus IV followed by a titrated IV infusion. Round to the tenths place. HEPARIN PROTOCOL Initial bolus- 50 units/kg Initial rate – 18 units/kg/hr Obtain a PTT every 6 hours, and adjust dosage and rate as follows: If  PTT is less than 35 secs:      Repeat bolus with 80 units/kg and increase the rate by 4 units/kg/hr. If  PTT is 36 to 44 seconds:       Repeat bolus with 40 units/kg and increase the rate by 2 units/kg/hr. If  PTT is 45 to 75 seconds:       Continue current rate. If  PTT is 76 to 90 seconds:       If  PTT is 76 to 90 seconds:          Decrease rate by 2 units/kg/hr. If  PTT is greater than 90 secs: Hold the heparin for 1 hour and decrease rate by 3 units/kg/hr. Available (for bolus)  – heparin 1,000 units/mLAvailable (for infusion) –  heparin 25,000 units in 250 mL D5W    How many mL of heparin will the client receive for the initial IV bolus?