M/S - WB Chapter 30

in acute myeloid leukemia (AML), any age group can be affected, although it infrequently occurs before the age of ________ and the incidence rises with age with a peak incidence at the age of _______ years

55; 67

which patient assessed by the nurse is at greatest risk for the development of myelodysplastic syndromes (MDSs) a. 24 YO female taking oral contraceptives b. 40 YO patient with a HX of HTN c. 52 YO patient with acute kidney injury d. 72 YO patient with a HX of CA

72 year old patient with a history of cancer

multiple myeloma is malignancy of the most mature form of ________, the plasma cell

B lymphocytes

myelodysplastic syndromes (MDSs) are a group of clonal disorders of the myeloid stem cell that cause _________ in one or more types of cell lines

dysplasia

stem cell disease within the bone marrow

essential thrombocythemia

a patient with acute myeloid leukemia (AML) is having a hematopoietic stem cell transplantation (HSCT) with radiation therapy. which complication will recognize the donor's lymphocytes as foreign and set up reactions to attack the foreign host acute respiratory distress syndrome graft-versus-host disease remission bone marrow depression

graft-versus-host disease

unicentric in origin and is initiated in a single bode

hodgkin lymphoma

a patient with acute myeloid leukemia (AML) is having aggressive chemotherapy to attempt to achieve remission and is aware that hospitalization will be necessary for several weeks. which type of therapy will the nurse educate the patient about

induction therapy

a patient with acute myeloid leukemia (AML) has a neutrophil count that persists at less than 100/mm3. which will the nurse cautiously monitor this patient for abd cramps hypotension SZ activity infection

infection

what do the signs and symptoms of AML result from

insufficient production of normal blood cells

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. which is a priority for the nurse to monitor related to the transfusions? creatinine and BUN iron mag potassium

iron levels

the common feature of the ________ is an unregulated proliferation of leukocytes in the bone marrow

leukemias

a patient is taking hydroxyurea for the treatment of primary myelofibrosis. while the patient is taking this medication, which lab studies will the nurse monitor to determine effectiveness? leukocyte and platelet count BUN and creatinine levels AST and ALT hemoglobin and hematocrit

leukocyte and platelet count

the leukemias are commonly classified according to the stem cell line involved, either

lymphoid or myeloid

malignant disease of the most mature form of B lymphocyte, the plasma cell

multiple myeloma

heterogeneous group of cancers that originate from the neoplastic growth of lymphoid tissue

non-hodgkin lymphoma

the nurse is caring for a patient who will begin taking long-term bisphosphonate therapy. why is it important for the nurse to encourage the patient to receive a thorough evaluation of dentition, including panoramic dental x-rays? patient is at risk for tooth decay patient will develop gingival hyperplasia patient can develop osteonecrosis of the jaw

patient can develop osteonecrosis of the jaw

a patient with polycythemia vera has a high RBC count and is at risk for the development of thrombosis. which treatment is important to reduce blood viscosity and to deplete the patient's iron stores blood transfusions radiation phlebotomy

phlebotomy

the nurse is performing an assessment for a patient with acute myeloid leukemia (AML) and observes multiple areas of ecchymosis and petechiae. which lab study will the nurse be most concerned about WBC 4200 hematocrit 38% platelet count 9000 creatinine 1.0

platelet count of 9000/mm3

proliferative disorder of the myeloid stem cells

polycythemia vera

the nurse is assessing a patient with polycythemia vera. which skin assessment data will the nurse identify as a normal finding for this patient pale skin with mucous membranes bronze skin tone ruddy complexion

ruddy complexion

chronic myeloid leukemia (CML) arises from a mutation in the myeloid _________

stem cell

the nurse is educating a patient taking imatinib mesylate for treatment of leukemia. which will the nurse be sure to include when educating the patient about the best way to take the medication that will optimize absorption a. take the medication with a source of vitamin C to enhance absorption b. take antacids if needed for gastrointestinal (GI) upset 2 hours after taking the medication c. take the medication with food to enhance absorption

take antacids if needed for GI upset 2 hours after taking the medication

if bone marrow analysis is performed on a patient with AML, what results are seen

the results will show an excess of immature blast cells. which is the hallmark of the diagnosis

what is the gaol of treatment in acute lymphocytic leukemia (ALL)

to obtain remission without excess toxicity and with a rapid hematologic recovery so that additional therapy can be administered if needed

results from an uncontrolled proliferation of immature cells derived from the lymphoid stem cell

acute lymphocytic leukemia

results from a defect in the hematopoietic stem cell that differentiates into all myeloid cells

acute myeloid leukemia

the leukemias are also classified as

acute or chronic

the nurse is caring for a patient with acute myeloid leukemia (AML) with high uric acid levels. which medication administered by the nurse will prevent crystallization of uric acid and stone formation allopurinol filgrastim hydroxyurea asparaginase

allopurinol

the development of hematologic neoplasms is complex. understanding the processes and the rationale for treatments is important so that nurses may appropriately ______ with patients who have hematologic neoplasms

assess, monitor, educate, intervene

why is caring for a patient with myelodysplastic syndromes (MDSs) such a challenge

because the illness is unpredictable

complications of AML include ________, the major causes of death from this condition

bleeding and infection

hematopoietic malignancies are often classified by the _______ involved

cells

the nurse is caring for a patient with chronic myeloid leukemia (CML) taking imatinib mesylate. in which phase of the leukemia is this medication most useful to induce remission chronic transformation accelerated blast crisis

chronic

derived from a malignant close of B lymphocytes

chronic lymphocytic leukemia

arises from a mutation in the myeloid stem cell

chronic myeloid leukemia