Question

Read the following case stndy Use critical thinking skills to discuss and answer the presents to the local emergency room with combination of antineoplastics: vincristine r ace During the nurse's assessment, the cli cell (WBC) count with differential and mie Hemanopoietic and Lymphatic Discrders 5. 164 UNIT 7 Caring for Clents With Activity H VItY steroid dexametha- a e of a sore throat, fatigue, tever, chills,and sone (Decadron). The physician orders a wxah ent's medical history and current obtained The symptoms of an infection. The client doxorubicin (Adnamycin), and a st are The WBC results indicate low g client granulocyte counts The blood client informs the nurse that he is (neutrophils, basophils, and eosinophils COun ed tor mutiple myeloma and is receiving a chemistry panel an elevated blood sugar level being treat Upon admission, what type of provide for this client? nursing care would you I. Given the client's symptoms, history, and current s symploms, history, and curent medi. cations, what is the likely cause of the client's illness? d 4. What advantages does using this combination of vincristine (Oncovin), doxorubicin (Adriamycin), and dexamethasone (Decadron)-provide for the client as treatment for his multiple myeloma? 2. Why is the client's blood sugar elevated in the bloo chemistry panel results? L When caning for acliet with decreasing blood pressure 3. In a client with suspected sickle cell disease, w and tachycardia, the nurse is accurate in indentifying SECTION 3: GETTING READY FOR NCLEX ActivityI Anwer the followving questions which of the following as an underlying etiology? assessment finding should alert the nurse that the 2 Hypoxemia 3. Anemia ent is experiencing an accelerated rate of erythroc destruction? 2 When the surs Fate L.Bleedon?aerheich Edema

Answer 1

Ans.) 1. On the basis of given information, it is likely to include that patient is suffering from low granulocytes level which means that there must be some infection or allergic problem.The patient do not form enough WBC to counterattack the infection.

2. Basically, there is an association between the neutrophil-lymphocyte ratio (NLR) and fasting plasma glucose (FPG) level. The low granulocyte level triggers the insulin resistance and hyperglycemia.

3. Upon admission, first of all administer medication to pacify the high blood sugar level.

4. Combination of vincristine, doxorubicin and dexamethasone (VAD) is an effective medication in multiple myeloma (blood cancer related to lymphoma and leukemia). VAD checks the levels of blood cells and other substances in the blood. It also checks how well liver and kidneys are working.