Practice Quiz

NCLEX-RN

Category - Pharmacological

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A nurse is caring for a client under chemotherapy. The nurse includes which of the following actions in the care plan?
  1. Encourage a low-calorie diet.
  2. Administer antiemetics hours before chemotherapy, and 12 to 48 hours after, as ordered.
  3. Initiate bleeding precautions if the platelet count is around 200,000 cells/µl.
  4. Intramuscular injections and venipunctures are recommended.
Explanation
Answer: B - The nurse needs to administer antiemetics before and after chemotherapy because antineoplastic drugs can stimulate the brain’s vomiting center. A high-calorie diet is recommended to maintain weight and lean body mass. Intramuscular and venipunctures are avoided as much as possible to reduce the risk of bleeding. Bleeding precautions are initiated if the platelet count is less than 50,000 cells/µl; depending on facility policy.
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