MRCP UK EXAMINATIONS

NEUROLOGY

SURGERY

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
A patient with acute myeloid leukemia (AML) has a neutrophil count that persists at less than 100/mm?. Which will the nurse cautiously monitor this patient for?
A
Abdominal cramps
B
Hypotension
C
Seizure activity
D
Infection
Explanation: 

Detailed explanation-1: -The care plan for patients with leukemia should be emphasized on providing comfort, minimizing the adverse effects of chemotherapy, promoting the preservation of veins, managing complications, and providing teaching and psychological support.

Detailed explanation-2: -Fluid hydration of 3L daily is recommended throughout the disease course and improves overall survival. Management is multi-focused including adequate hydration, anti-myeloma therapy, prompt management of hypercalcaemia, dose adjustment of bisphosphonate therapy, avoidance of nephrotoxic drugs, eg.

Detailed explanation-3: -Blood tests. Laboratory analysis of your blood may reveal the M proteins produced by myeloma cells. Another abnormal protein produced by myeloma cells-called beta-2-microglobulin-may be detected in your blood and give your doctor clues about the aggressiveness of your myeloma.

There is 1 question to complete.