A patient is receiving chemotherapy. Seven days after a dose, the ...

[crobinson2013]

A patient is receiving chemotherapy. Seven days after a dose, the patient's neutrophil count is 1,000 cells/mm3. The nurse will tell this patient:
 
  a. that hospitalization is necessary to provide infection prophylaxis.
  b. that the provider will probably repeat the work in 3 to 5 days.
  c. to ask the provider about skipping the next dose of chemotherapy.
  d. to report any symptoms such as pus, abscesses, or cough.

Question 2

A patient is treated for Phthirus pubis with permethrin 1 lotion. Two days after using the lotion as directed, the patient calls to report increased itching, erythema, and edema of the pubic skin. What will the nurse tell the patient?
 
  a. This is an expected effect of the treatment and will subside.
  b. This represents an allergic reaction to the lotion.
  c. The patient should ask the provider about using malathion 0.5 lotion.
  d. The patient should repeat the permethrin now and contact the provider if no improvement is seen.

[Swizqar]

Answer to Question 1

ANS: B
Normal neutrophil counts range from 2500 to 7000 cells/mm3. The lowest neutrophil count, or nadir, usually occurs 10 to 14 days after dosing, so this patient's neutrophil count should be repeated at that time. Hospitalization is controversial because of the risk of exposure to serious infections. The next dose should not be skipped unless the neutrophil count is below 500/mm3. Patients with neutropenia may not have symptoms of pus, abscess, or cough and should be instructed to report any fever.

Answer to Question 2

ANS: A
Permethrin may cause some exacerbation of the itching, erythema, and edema normally associated with pediculosis, so this is expected. It does not indicate an allergic reaction. There is no need to change to another product or to repeat the application.

[crobinson2013]

TY

[Swizqar]

You're welcome