Leukemia
A patient with acute myeloid leukemia (AML) is being treated with chemotherapy. Which nursing intervention is most important during this treatment?
Patients undergoing chemotherapy for acute myeloid leukemia (AML) are at a heightened risk for infections due to neutropenia, so monitoring for signs of infection is a critical nursing intervention during treatment. Excellent choice!
A nurse is educating a patient with HIV about infection control measures. Which of the following statements indicates a need for further teaching?
This statement indicates a need for further teaching, as patients with HIV are generally advised to avoid live vaccines due to their compromised immune systems.
After lung surgery, a patient with a chest tube is experiencing difficulty breathing. Which nursing action is the priority?
Before starting a blood transfusion, which action is essential for the nurse to perform?
Taking baseline vital signs is essential before starting a blood transfusion to monitor for any changes during the procedure.
When educating a patient about their tuberculosis medication regimen, which statement by the patient indicates a need for further teaching?
This statement indicates a need for further teaching, as it is essential for patients with tuberculosis to complete their entire medication regimen, even if they start to feel better, to prevent the development of drug resistance.
A nurse is providing education to a patient with leukemia about bleeding precautions. Which of the following statements indicates a need for further teaching?
This statement indicates a need for further teaching, as aspirin can increase the risk of bleeding, which is a concern for patients with leukemia. The other statements reflect appropriate understanding of bleeding precautions. Great job!
A patient receiving combination antiretroviral therapy (cART) for HIV asks why it’s essential to take medications on time. Which of the following responses by the nurse is most appropriate?
A patient with suspected disseminated intravascular coagulation (DIC) presents with hematuria and petechiae. What should the nurse prioritize in the assessment?
C. Monitoring vital signs
(Vital signs are critical to assess for signs of shock or bleeding.)
During the initial 15 minutes of a blood transfusion, the nurse should:
During the initial 15 minutes of a blood transfusion, it is crucial to closely monitor the patient for any signs of an adverse reaction.
A patient with tuberculosis is experiencing peripheral neuropathy as a side effect of their medication regimen. Which of the following medications should the nurse expect to administer to help manage this condition?
B. Vitamin B6 (pyridoxine) is often given to help manage peripheral neuropathy, especially in patients receiving certain medications for tuberculosis.
A nurse is assessing a patient with acute myeloid leukemia (AML). Which of the following findings would the nurse expect to observe? (Select all that apply)
These findings are all associated with acute myeloid leukemia (AML). The elevated platelet count (C) would not be expected, as patients with AML typically have thrombocytopenia (low platelet counts). Great job!
A nurse is planning dietary interventions for a patient with HIV. Which of the following strategies should the nurse include? (Select all that apply)
These strategies are essential for the nutritional management of a patient with HIV.
C. Suggest a diet high in dairy products is generally not recommended, especially if the patient has diarrhea, as dairy can exacerbate symptoms in some individuals.
A patient who underwent lung surgery has a chest tube in place. Which nursing intervention should the nurse prioritize to promote optimal recovery?
This helps maintain proper drainage and prevents backflow. Let me know if you need more questions or any adjustments!
Which symptom is most indicative of an acute hemolytic reaction to a blood transfusion?
Low back pain is a classic symptom of an acute hemolytic reaction to a blood transfusion.
D. Fever can occur with various types of transfusion reactions, but it is not specific to acute hemolytic reactions.
A nurse is preparing to care for a patient with active tuberculosis. Which of the following precautions should be implemented? (Select all that apply)
These precautions are essential for preventing the transmission of tuberculosis.
A nurse is assessing a patient with chronic myeloid leukemia (CML) in the acute (blast crisis) phase. Which symptoms should the nurse expect to find? (Select all that apply)
These symptoms are indicative of the acute (blast crisis) phase of chronic myeloid leukemia (CML).
A patient with HIV is experiencing respiratory difficulties. Which assessment findings would the nurse consider significant? (Select all that apply)
These findings are significant indicators of respiratory distress and possible infection in a patient with HIV.
Which of the following are known risk factors for developing colorectal cancer? (Select all that apply)
A, B, D, E
(Age over 50, family history, IBD, and Rectal polyps are recognized risk factors.)
Question 9: Signs of Acute Hemolytic Reaction
A patient receiving a blood transfusion suddenly develops low back pain, tachycardia, and hypotension. What should the nurse do next? (Select all that apply)
These actions are appropriate for managing an acute hemolytic reaction during a blood transfusion.
While monitoring a patient with tuberculosis, which lab values should the nurse be particularly vigilant about? (Select all that apply)
D. Blood glucose levels is not typically a priority for monitoring in the context of tuberculosis treatment.
Which statements made by a patient undergoing a stem cell transplant indicate the need for further teaching? (Select all that apply)
The answers indicating the need for further teaching are:
Which of the following statements regarding HIV diagnostic tests is true? (Select all that apply)
The HIV viral load test measures the amount of actively replicating HIV in the blood, not CD4 cells.
The Western blot test can be positive within 28 days after exposure.
Which of the following actions should the nurse take before administering a blood transfusion? (Select all that apply)
A, C, D, E
(Obtaining consent, verifying identity and compatibility, and checking allergies are all critical pre-transfusion steps.)
A nurse is assessing a patient with suspected DIC. Which findings would indicate bleeding? (Select all that apply)
These findings indicate bleeding in a patient with DIC.
A. Capillary refill > 3 seconds indicates poor perfusion but is related to clotting issues in the context of DIC.
A nurse is assessing a patient suspected of having tuberculosis. Which of the following findings should the nurse anticipate during the assessment? (Select all that apply)
These findings are typical symptoms associated with tuberculosis.
D. Rapid weight gain would not be expected, as patients with TB often experience weight loss.