Author Question: A client has frequent hospitalizations for leukemia and is worried about functioning as a parent to ... (Read 54 times)

Starlight · **on:** Jun 25, 2018

A client has frequent hospitalizations for leukemia and is worried about functioning as a parent to four small children. What action by the nurse would be most helpful?

a. Assist the client to make sick day plans for household responsibilities.
b. Determine if there are family members or friends who can help the client.
c. Help the client inform friends and family that they will have to help out.
d. Refer the client to a social worker in order to investigate respite child care.

Question 2

A nurse is caring for four clients with leukemia. After hand-off report, which client should the nurse see first?

a. Client who had two bloody diarrhea stools this morning
b. Client who has been premedicated for nausea prior to chemotherapy
c. Client with a respiratory rate change from 18 to 22 breaths/min
d. Client with an unchanged lesion to the lower right lateral malleolus

meryzewe · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: A
While all options are reasonable choices, the best option is to help the client make sick day plans, as that is more comprehensive and inclusive than the other options, which focus on a single item.

Answer to Question 2

ANS: A
The client who had two bloody diarrhea stools that morning may be hemorrhaging in the gastrointestinal (GI) tract and should be assessed first. The client with the change in respiratory rate may have an infection or worsening anemia and should be seen next. The other two clients are not a priority at this time.