Week 6

A client with a new onset of rib and spine pain is being evaluated for multiple myeloma. For which manifestations will the nurse assess this client? Select all that apply. A. Anemia B. Lymph enlargement C. Hypercalcemia D. Renal dysfunction E. Bone destructions

A. Anemia C. Hypercalcemia D. Renal dysfunction E. Bone destructions

Which is usually the most important consideration in the decision to initiate antiretroviral therapy? A. CD4+ counts B. HIV RNA C. Western blotting assay D. ELISA

A. CD4+ counts

A client taking antiretroviral therapy (ART) for stage 1 of HIV wants new medications because the CD4+ level is not much higher one year after initiation of therapy. The nurse knows that which response will be correct when educating the client about their disease? A. "You are entering another stage of the illness." B. "The viral load results can show improvement." C. "This means that medication doses have been skipped." D. "It's possible that other medication would be more effec

B. "The viral load results can show improvement."

A client is taking a corticosteroid for the treatment of systemic lupus erythematosus. When the nurse is providing instructions about the medication to the client, what priority information should be included? A. If the client experiences nausea, omit the dose. B. The client should be alert for joint aches. C. This medication is commonly used for many inflammatory reactions and is relatively safe. D. Be alert for signs and symptoms of infection and report them immediately to the physician.

D. Be alert for signs and symptoms of infection and report them immediately to the physician.

A client was admitted to the hospital with a pathologic pelvic fracture. The client informs the nurse that he has been having a strange pain in the pelvic area for a couple of weeks that was getting worse with activity prior to the fracture. What does the nurse suspect may be occurring based on these symptoms? A. Hemolytic anemia B. Polycythemia vera C. Leukemia D. Multiple myeloma

D. Multiple myeloma

A client with HIV will be started on a medication regimen of three medications. What class of drugs will the nurse instruct the client about? A. Anticholinergics B. Disinhibitors C. Reverse transcriptase inhibitors D. Hydroxyurea

C. Reverse transcriptase inhibitors

A client with AIDS is admitted to the hospital with severe diarrhea and dehydration. The physician suspects an infection with Cryptosporidium. What type of specimen should be collected to confirm this diagnosis? A. Urine specimen for culture and sensitivity B. Blood specimen for electrolyte studies C. Stool specimen for ova and parasites D. Sputum specimen for acid fast bacillus

C. Stool specimen for ova and parasites

The nurse is caring for a client at high risk for thrombocythemia. Which treatments will the nurse anticipate being prescribed for this client? Select all that apply. A. Aspirin B. Anagrelide C. Hydroxyurea D. Diphenhydramine E. Interferon-alfa

A. Aspirin B. Anagrelide C. Hydroxyurea E. Interferon-alfa

A client who has AIDS reports having diarrhea after every meal, and wants to know what can be done to stop this symptom. What should the nurse advise? A. Avoid fibrous foods, lactose, fat, and caffeine. B. Consume large, high-fat meals. C. Reduce food intake. D. Increase intake of iron and zinc.

A. Avoid fibrous foods, lactose, fat, and caffeine.

The nurse recognizes the clinical assessment of a patient with acute myeloid leukemia (AML) includes observing for signs of infection early. What nursing action will most likely help prevent infection? A. Monitor the client's temperature every shift. B. Maintain contact precautions. C. Encourage increased fluid consumption. D. Practice vigilant hand washing

D. Practice vigilant hand washing

When assessing a female client with a disorder of the hematopoietic or the lymphatic system, which assessment is most essential? A. Health history, such as bleeding, fatigue, or fainting B. Menstrual history C. Age and gender D. Lifestyle assessments, such as exercise routines

A. Health history, such as bleeding, fatigue, or fainting

Clients with multiple myeloma have abnormal plasma cells that proliferate in the bone marrow where they release osteoclast-activating factor, resulting in the formation of osteoclasts. What is the most common complication of the pathology resulting from this process? A. Pathologic fractures B. Osteoporosis C. Calcified bones D. Increased mobility

A. Pathologic fractures

A nurse is assessing a client with Kaposi's sarcoma. What initial sign does the nurse know to look for during assessment? A. Severe joint pain B. Lymphedema of the lower extremities C. Deep purple cutaneous lesions D. Venous stasis and phlebitis formation

C. Deep purple cutaneous lesions

The nurse is assisting the client with multiple myeloma to ambulate. What is the most important nursing intervention to help prevent fractures in the client? A. Increase mobility. B. Provide adequate hydration. C. Promote safety. D. Encourage adequate nutrition.

C. Promote safety.

For a client with Hodgkin lymphoma, who is at a risk for ineffective airway clearance and impaired gas exchange, the nurse places the client in a high Fowler's position to A. reduce deficits in the blood oxygen concentration. B. detect compromised ventilation. C. increase lung expansion. D. anticipate the need for airway management.

C. increase lung expansion.

The home health nurse is assessing a client who is immunosuppressed. What is the most essential teaching for this client and the family? A. How to promote immune function through nutrition B. The importance of maintaining the client's vaccination status C. How to choose antibiotics based on the client's symptoms D. The need to report any slight changes in the client's health status

D. The need to report any slight changes in the client's health status

A patient with acute myeloid leukemia (AML) is having hematopoietic stem cell transplantation (HSCT) with radiation therapy. In which complication do the donor's lymphocytes recognize the patient's body as foreign and set up reactions to attack the foreign host? A. Acute respiratory distress syndrome B. Graft-versus-host disease C. Remission D. Bone marrow depression

B. Graft-versus-host disease

The nurse cares for an older adult client with unprovoked back pain and increased serum protein. Which hematologic neoplasm does the nurse suspect the client has? A. Chronic myeloid leukemia B. Multiple myeloma C. Hodgkin lymphoma D. Non-Hodgkin lymphoma

B. Multiple myeloma

A client on antiretroviral drug therapy informs the nurse about sometimes forgetting to take the medication for a few days. What should the nurse inform the client can occur when the medications are not taken as prescribed? A. The funding for the medications will cease if the client is not taking the meds correctly. B. The client is risking the development of drug resistance and drug failure. C. The client will have to take the drugs intravenously to ensure compliance. D. The client will have t

B. The client is risking the development of drug resistance and drug failure.