Author Question: A client is receiving a colony-stimulating factor and experiences dilutional anemia secondary to ... (Read 96 times)

soccerdreamer_17 · **on:** Jul 23, 2018

A client is receiving a colony-stimulating factor and experiences dilutional anemia secondary to fluid retention associated with drug therapy. The nurse would most likely identify which nursing diagnosis?

A) Fatigue
B) Constipation
C) Imbalanced Nutrition: Less Than Body Requirements
D) Anxiety

Question 2

When educating a group of nursing students on immunologic agents, the nurse refers to a substance that is attenuated (or weakened) but still capable of stimulating the formation of antitoxins.

The nurse determines that the teaching was successful when the students identify this substance as which of the following?

A) Antivenins
B) Toxoids
C) Vaccines
D) Immune globulins

sierramartinez · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Ans: A
Feedback:
During administration of the CSF drugs, the patient may experience fluid retention. The increase in fluid volume makes the ratio of cells to fluid in the blood less, which results in a dilutional anemia. The patient may experience fatigue due to this anemia. Constipation is more likely when iron supplements are used. Imbalanced Nutrition: Less Than Body Requirements would be more likely if the client was experiencing anemia. There is no evidence to suggest Anxiety as a nursing diagnosis.

Answer to Question 2

Ans: B
Feedback:
The nurse is referring to toxoids. A toxoid is a toxin that is weakened but still capable of stimulating the formation of antitoxins. Toxoids are administered to stimulate the immune response within the body to specific antigens or toxins. These agents must be administered before exposure to the disease-causing organism. Vaccines are attenuated or killed antigens that are capable of stimulating antibody production and creating immunity. Immune globulins are antibody-containing solutions formed to specific antigens and are obtained from human or animal blood. Vaccines, immune globulins, and antivenins do not stimulate antitoxin formation.