Answer to Question 1
Correct Answer: 3,4,5
Rationale 1: Neutropenic clients should avoid uncooked fruit and vegetables.
Rationale 2: Light-colored or clay-colored stools can be indicative of liver disorder and should be reported.
Rationale 3: Crowded indoor areas should be avoided.
Rationale 4: Temperature elevation should be reported.
Rationale 5: Cough should be reported.
Global Rationale: Crowded indoor areas should be avoided and temperature elevation and cough should be reported. These statements indicate the goal is not yet met. The other statements indicate the goal has been met.
Answer to Question 2
Correct Answer: 2,3
Rationale 1: Trapping of granulocytes in the pulmonary circulation may occur, which would result in lowering of the blood pressure.
Rationale 2: Trapping of granulocytes in the pulmonary circulation may occur, which would result in tachycardia.
Rationale 3: Trapping of granulocytes in the pulmonary circulation may occur, which would result in difficulty breathing.
Rationale 4: Jaundice is not an adverse effect of Leukine and would not occur during an infusion.
Rationale 5: Rash on the palms is not an adverse effect of Leukine.
Global Rationale: Trapping of granulocytes in the pulmonary circulation may occur, which would result in tachycardia and difficulty breathing. This client would also experience a decrease in blood pressure not an increase in blood pressure. Jaundice is not an adverse effect of Leukine and would not occur during an infusion. Rash on the palms is not an adverse effect of Leukine.