Chapter 34 study guide
A
A patient is taking hydroxyurea for the treatment of primary myelofibrosis. While the patient is taking this medication, what will the nurse monitor to determine effectiveness? A. Leukocyte and platelet count B. BUN and creatine levels C. Aspartate aminotransferase (AST) and alanine transaminase (ALT) levels D. Hemoglobin and hematocrit
B
A patient with AML is having hematopoietic stem cell transplantation (HSCT) with radiation therapy. With whichh complication does the nurse know that 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
A,C,D
A patient with polycythemia vera reports severe itching. What triggers does the nurse know can cause this distressing symptom? (Select all that apply) A. Temperature change B. Allergic reaction to the RBC increase C. Alcohol consumption D. Exposure to water of any temperature E. aspirin
D
A patient with AML has a neutrophil count that persists at less than 100/mm^3. What should the nurse cautiously monitor this patient for? A. Abdominal cramps B. Hypotension C. Seizure activity D. Infection
B
The nurse is administering packed RBC transfusions for a patient with MDS. The patient has had several transfusions and is likely to receive several more. What is a priority for the nurse to monitor related to the transfusions? A. Creatinine and blood urea nitrogen (BUN) levels B. Iron levels C. Magnesium levels D. Potassium levels
C
The nurse is assessing a patient with polycythemia vera. What skin assessment data would the nurse determine is a normal finding for this patient? A. Pale skin an mucous membranes B. Bronze skin C. Ruddy complexion D. Jaundice skin and sclera
A
The nurse is caring for a patient with AML with high uric acid levels. What medication does the nurse anticipate administering that will prevent crystallization of uric acid and stone formation? A. Allopurinol B. Filgrastim C. Hydroxyurea D. Asparaginase
D
Which patient assessed by the nurse is most likely to develop myelodysplastic syndromes (MDS)? A. A 24 yr old female taking oral contraceptives B. A 40 yr old patient with a history of hypertension C. A 52 yr old patient with acute kidney injury D. A 72 yr old patient with a history of cancer
A,B,C
The nurse is caring for a patient with Hodgkin Lymphoma in the hospital and preparing discharge planning education. Because this patient is at risk for the development of a second malignancy, what education would be beneficial to reduce the risk factors? (Select all that apply) A. Reduce exposure to excessive sunlight B. Smoking cessation C. Decrease alcohol intake D. Decrease intake o antipyretic medications such as acetaminophen
A
The nurse is caring for a patient with chronic myeloid leukemia (CML) who is taking imatinib mesylate. In what phase of the leukemia does the nurse understand that this medication is most useful to induce remission? A. Chronic B. Transformation C. Accelerated D. Blast crisis
B
The nurse is educating a patient taking imatinib mesylate for treatment of leukemia. What should the nurse be sure to include when educating the patient on the best way to take the medication to optimize absorption? A. Take the medication with a source of vitamin c to enhance absorption B. Take antacids if needed for gastrointestinal upset 2 hours after taking the medication C. Take the medication with food to enhance absorption D. Take the medication with acetaminophen to prevent decreased absorption and GI upset
C
The nurse is performing an assessment on a patient with AML and observes multiple areas of eccymosis and petechiae. What laboratory study should the nurse be concerned about? A. WBC count of 4200 cells/mcL B. Hematocrit of 38% C. Platelet count of 9000/mm^3 D. Cratinine level of 1.0 mg/dL
A
A patient with acute myeloid leukemia (AML) is having aggressive chemotherapy to attempt to achieve remission. The patient is aware that hospitalization will be necessary for several weeks. What type of therapy that the patient will receive will the nurse educate the patient about? A. Induction therapy B. Supportive therapy C. Antimicrobial therapy D. Standard therapy
D
A patient with polycythemia vera has a high RBC count and is at risk for the development of thrombosis. What treatment is important to reduce blood viscosity and to deplete the patient's iron stores? A. Blood transfusions B. Radiation C. Chelation therapy D. Phlebotomy
C
The nurse is caring for a patient who will begin taking long-term biophosphate therapy. Why is it important for the nurse to encourage the patient to receive a thorough evaluation of dentition,including panoramic dental X-rays? A. The patient is at risk for tooth decay B. The patient will develop gingival hyperplasia C. The patient can develop osteonecrosis of the jaw D. The patient can develop loosening of the teeth
