Oncology
Which of the following complications are three main consequences of leukemia?
a. Polycythemia, decreased clotting time, and infection
b. Anemia, infection, bleeding tendencies
c. Bone deformities, spherocytosis, infection
d. Lymphocytopoiesis, growth delays, hirsutism
b. Anemia, infection, bleeding tendencies
The nurse analyzes the laboratory results of a child with hemophilia. The nurse understands that which result will most likely be abnormal in this child?
a. Platelet count
b. Hematocrit level
c. Hemoglobin level
d. Partial thromboplastin time
d. Partial thromboplastin time
The nurse is instructing the parents of a child with iron deficiency anemia regarding the administration of a liquid oral iron supplement. Which instruction should the nurse tell the parents?
a. Administer the iron at mealtimes.
b. Administer the iron through a straw.
c. Mix the iron with cereal to administer.
d. Add the iron to formula for easy administration.
b. Administer the iron through a straw.
During the first 24 hours after thrombolytic therapy for ischemic stroke, the primary goal is to control the client’s:
a. Pulse
b. Respirations
c. Blood pressure
d. Temperature
c. Blood Pressure
A client arrives in the emergency department with an ischemic stroke and receives tissue plasminogen activator (t-PA) administration. Which is the priority nursing assessment?
a. Time of onset of current stroke
b. Complete physical and history
c. Current medications
d. Upcoming surgical procedures
a. Time of onset of current stroke
Which of the following assessment findings in a patient with leukemia would indicate that cancer has spread to the brain?
a. Hypervigilance and anxious behavior
b. Increased heart rate and decreased blood pressure
c. Headache and vomiting
d. Decreased level of consciousness and decreased blood pressure
c. Headache and vomiting
The nurse provides care for a client diagnosed with polycythemia vera. The nurse expects to make which assessment?
a. Jaundice
b. Hematocrit < 48%
c. Ruddy red complexion
d. Hypotension
c. Ruddy red complexion
Which symptom best indicates to the home health nurse that a client has an infection?
a. the client has a rash
b. the client has a heart murmur
c. the client has lymphadenopathy
d. the client has nystagmus
c. the client has lymphadenopathy
A 78-year-old client is admitted to the emergency department with numbness and weakness of the left arm and slurred speech. Which nursing intervention is a priority?
a. Prepare to administer recombinant tissue plasminogen activator (rt-PA).
b. Discuss the precipitating factors that caused the symptoms.
c. Schedule for A STAT computer tomography (CT) scan of the head.
d. Notify the speech pathologist for an emergency consultation.
c. Schedule for A STAT computer tomography (CT) scan of the head.
The client diagnosed with atrial fibrillation has experienced a transient ischemic attack (TIA). Which medication would the nurse anticipate being ordered for the client on discharge?
a. A thrombolytic medication
b. A beta-blocker medication
c. An anti-hyperuricemic medication
d. An oral anticoagulant medication
d. An oral anticoagulant medication
A 40-year old male diagnosed with acute lymphocytic leukemia finished his first cycle of chemotherapy. Which of the following statements by the nurse is wrong?
a. “You can eat soft cheeses from pasteurized milk”
b. “You can enjoy turkey on the day of the Thanksgiving party”
c. “Try eating sushi in one of the famous Japanese restaurants around the city”
d. “A medium well steak is a good idea of a nutritious meal”
c. “Try eating sushi in one of the famous Japanese restaurants around the city”
The nurse obtains a history from a client with a diagnosis of sickle cell anemia. The client is admitted with a diagnosis of vaso-occlusive crisis. The nurse identifies which factor most contributed to the vaso-occlusive crisis?
a. the client recently had an upper respiratory infection
b. the client has type I diabetes
c. the client drinks tea at dinner
d. the client attended a child's graduation yesterday
a. the client recently had an upper respiratory infection
The nurse understands which is the most common type of anemia?
a. aplastic anemia
b. iron deficiency anemia
c. pernicious anemia
d. sickle cell anemia
b. iron deficiency anemia
Which of the following signs and symptoms of increased ICP after head trauma would appear first?
a. Bradycardia
b. Large amounts of very dilute urine
c. Restlessness and confusion
d. Widened pulse pressure
c. Restlessness and confusion
The nurse is evaluating the status of a client who had a craniotomy 3 days ago. The nurse would suspect the client is developing meningitis as a complication of surgery if the client exhibits:
a. A negative Kernig’s sign.
b. A positive Brudzinski’s sign.
c. Absence of nuchal rigidity.
d. A Glascow Coma Scale score of 15.
b. A positive Brudzinski’s sign.
A client with leukemia has neutropenia. Which of the following functions must be frequently assessed?
a. Heart sounds
b. Bowel sounds
c. Blood pressure
d. Breath sounds
d. Breath sounds
The nurse provides care for a client diagnosed with immune thrombocytopenia purpura. Which teaching is a priority when caring for the client?
a. signs and symptoms of bleeding
b. prevention of infection
c. increasing fluids to prevent dehydration
d. medications for depression
a. signs and symptoms of bleeding
The nurse understands which finding best describes the client diagnosed with disseminated intravascular coagulation (DIC)?
a. hemorrhage
b. clotting
c. hemorrhage and clotting
d. widespread collateral circulation development
c. hemorrhage and clotting
A client is admitted to the hospital with a diagnosis of Myasthenia Gravis. When caring for the client, the nursing priority is which goal?
a. Provide meticulous personal hygiene
b. Maintain balance between activity and rest
c. Maintain respiratory function
d. Promote adequate hydration
c. Maintain respiratory function
The nurse identifies which manifestation as most characteristic of myasthenia gravis?
a. Lack of automatism
b. Tiredness with slight exertion
c. Paresthesia of lower extremities
d. Propulsive gait
b. Tiredness with slight exertion
The nurse is reviewing the chart of a patient who is newly diagnosed with chronic lymphocytic leukemia. Which of the following laboratory values is expected to be seen?
a. Elevated aspartate aminotransferase and alanine aminotransferase levels
b. Thrombocytopenia and increased lymphocytes
c. Elevated sedimentation rate
d. Uncontrolled proliferation of granulocytes
b. Thrombocytopenia and increased lymphocytes
A 6 year-old is admitted with sickle cell crisis. The patient has a FACE scale rating of 10 and the following vital signs: HR 115, BP 120/82, RR 18, oxygen saturation 91%, temperature 101.4'F. Select all the appropriate nursing interventions for this patient at this time?
a. Administer IV Morphine per MD order
b. Administer oxygen per MD order
c. Keep NPO
d. Apply cold compresses
e. Start intravenous fluids per MD order
f. Administer iron supplement per MD order
g. Keep patient on bed rest
h. Remove restrictive clothing or objects from the patient
a. Administer IV Morphine per MD order
b. Administer oxygen per MD order
e. Start intravenous fluids per MD order
g. Keep patient on bed rest
h. Remove restrictive clothing or objects from the patient
A client diagnosed with iron deficiency anemia states "I am taking my iron pill every day, but I just feel more and more tired." Which response by the nurse is most appropriate?
a. "you need to make sure you are getting enough rest"
b. "tell me what other medications you are taking"
c. "have you seen any blood in your bowel movements?"
d. "be sure you eat iron rich foods, such as liver"
b. "tell me what other medications you are taking"
Which clinical manifestations does the nurse anticipate when caring for a client with a history of multiple sclerosis?
a. Urinary retention
b. Decreased LOC
c. Hyperreflexia of extremities
d. Intestinal obstruction
e. Ataxia
f. Decreased concentration
a. Urinary retention
c. Hyperreflexia of extremities
e. Ataxia
f. Decreased concentration
The nurse is caring for the client with increased intracranial pressure. The nurse would note which of the following trends in vital signs if the ICP is rising?
a. Increasing temperature, increasing pulse, increasing respirations, decreasing blood pressure.
b. Increasing temperature, decreasing pulse, decreasing respirations, increasing blood pressure.
c. Decreasing temperature, decreasing pulse, increasing respirations, decreasing blood pressure.
d. Decreasing temperature, increasing pulse, decreasing respirations, increasing blood pressure.
b. Increasing temperature, decreasing pulse, decreasing respirations, increasing blood pressure.