Author Question: The nurse should be prepared to institute bleeding precautions in the client receiving ... (Read 19 times)

BRWH · **on:** Jul 22, 2018

The nurse should be prepared to institute bleeding precautions in the client receiving antineoplastic medication if which of the following results were reported from the lab?

1. Clotting time, 12 seconds
2. Ammonia level, 28 mcg/dL
3. Platelet count, 50,000 cells/mm3
4. White blood cell count (WBC), 4500/mm3

Question 2

The nurse is providing instructions to the mother of a child with human immunodeficiency virus (HIV) infection regarding immunizations.

Which of the following statements, if made by the mother, indicates an understanding of the immunization schedule? 1. The hepatitis B vaccine is not to be given to my child.
2. My child will receive all the vaccines like any other child.
3. Family members in the household need to receive the influenza vaccine.
4. Blood tests need to be evaluated before any immunizations are given to my child.

31809pancho · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

2

Rationale: Platelets are the building blocks of blood clots. The normal platelet count is 150,000 to 450,000 cells/mm3. Bleeding precautions should be instituted when the platelet count drops to a critically low level, as defined by agency policy. Bleeding precautions include avoiding all trauma, such as rectal temperatures or injections. The normal clotting time is 8 to 15 seconds. The normal ammonia value is 10 to 80 mcg/dL. The normal WBC is 5000 to 10,000 cells/mm3. When the WBC count drops, neutropenic precautions should be implemented.

Answer to Question 2

3

Rationale: A child with HIV infection will receive the same immunizations as other children except for live vaccines. All household members receive the influenza vaccine. Blood tests need to be evaluated before any immunizations are given to my child. is not necessary and is inaccu-rate.