When assessing a client for acute myeloid leukemia (AML), the ...

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When assessing a client for acute myeloid leukemia (AML), the nurse would include which diagnosis in the plan of care to minimize the risk of complications?
 
  1. Risk for Infection
   2. Imbalanced Nutrition
   3. Fluid Volume Excess
   4. Ineffective Thermoregulation

Question 2

The nurse is planning care for the client with hyperthyroidism. The nurse teaches the client to avoid which of the following food selections?
 
  1. High-calorie foods
   2. Caffeine-free soda
   3. Soy sauce
   4. Milk products

[scrocafella]

Answer to Question 1

1. Risk for Infection

Rationale:
AML results in neutropenia (decreased neutrophils = risk of infection) and thrombocytopenia (decreased platelets which leads to increased risk of bleeding). Therefore, actions to minimize these risks include caution when moving or assisting the client to move, as well as strict hand hygiene to prevent possible cross-contamination. Weight loss is a symptom of chronic myeloid leukemia (CML), not AML. Therefore, dietary needs are not increased with AML. Restriction of fluids and salt are not needed. The client with AML does not have a problem with fluid shifts or edema that would require these restrictions. Fluids are encouraged to remove wastes that occur with chemotherapy treatment and cellular breakdown. Heat intolerance is a symptom of CML, not AML. CML has heat intolerance due to hypermetabolism state present with the condition.

Answer to Question 2

3. Soy sauce

Rationale:
Foods high in iodine, such as soy sauce, can influence the effectiveness of medication therapy for clients who are diagnosed with hyperthyroidism. High-calorie foods are important for clients with hyperthyroidism in order to meet metabolic demands. There is no reason to restrict caffeine-free soda. Milk products should be included in the diet for the client with hyperthyroidism because they are high in protein and calcium.

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TYSM

[samiel-sayed]

Gracias!