Blooooooop

The nurse monitors for which clinical manifestations in the patient diagnosed with malignant lymphoma? Select all that apply. 1. Night sweats 2. High fevers 3. Swollen lymph nodes 4. Painful lymph nodes 5. Weight loss

1. Night sweats 3. Swollen lymph nodes 5. Weight loss

A patient diagnosed with polycythemia is prescribed radiation, and asks the rationale for this treatment. Which response by the nurse is accurate? 1. "It stimulates red blood cell production." 2. "It suppresses the bone marrow." 3. "It provides vitamin supplementation." 4. "It decreases the risk of transfusion reactions."

2. "It suppresses the bone marrow."

A nurse educator is teaching a group of patients about prevention of sickle cell crises. What should the nurse instruct about the precipitating factors that could contribute to a sickle cell crisis? Select all that apply. 1. Increased fluid intake 2. Altitude 3. Fever 4. Vomiting 5. Regular exercise

2. Altitude 3. Fever 4. Vomiting

The nurse is caring for an older adult patient with hemolytic anemia. When planning care for this patient, which should the nurse take into consideration regarding this diagnosis? Select all that apply. 1. It causes the red blood cells to be microcytic. 2. It is associated with an increase in the reticulocyte count. 3. It is the result of blood loss. 4. It is a result of the premature destruction of red blood cells. 5. It always requires treatment with folic acid

2. It is associated with an increase in the reticulocyte count. 4. It is a result of the premature destruction of red blood cells. 5. It always requires treatment with folic acid

The nurse correlates which diagnostic finding to a diagnosis of multiple myeloma? 1. Serum calcium 8.5 mg/dL 2. Serum creatinine 2.2 mg/dL 3. Hemoglobin 18 g/dL 4. Serum BUN 15 mg/dL

2. Serum creatinine 2.2 mg/dL

In reviewing a patient's complete blood count (CBC) results, the nurse notes a "shift to the left." What is the significance of these results? 1. There is an elevated number of mature erythrocytes. 2. There is an elevated number of immature neutrophils (bands). 3. There is an elevated number of mature neutrophils (segs). 4. There is an elevated number of immature thrombocytes.

2. There is an elevated number of immature neutrophils (bands).

Which statement to the nurse by the patient about a planned bone marrow biopsy indicates the need for further teaching? 1. "I may hear a crunching sound as the needle punctures the bone." 2. "I can receive sedation for this test." 3. "I will need to be on strict bedrest for at least 24 hours." 4. "I may feel some pressure during the procedure."

3. "I will need to be on strict bedrest for at least 24 hours."

The nurse provides discharge instructions to a patient who is neutropenic. Which patient statements indicate the need for additional teaching? Select all that apply. 1. "My plants are being moved outside." 2. "I will avoid eating raspberries and blackberries." 3. "I will use a humidifier to moisten the air at night." 4. "I will wash all raw vegetables before eating them." 5. "My prescribed antibiotic can be stopped once I feel better."

3. "I will use a humidifier to moisten the air at night." 5. "My prescribed antibiotic can be stopped once I feel better."

22. The nurse is assisting the healthcare provider with a bone marrow aspiration and biopsy on a patient who has leukemia. The patient also has thrombocytopenia. On completing of the test, which intervention is a priority for the nurse? 1. Teach the patient about signs of infection. 2. Label and refrigerate the specimen obtained by the provider. 3. Hold pressure on the wound for at least 5 to 10 minutes. 4. Assess for post-procedure pain after the bone marrow biopsy.

3. Hold pressure on the wound for at least 5 to 10 minutes.

19. The nurse is reviewing laboratory results for a patient scheduled for a bleeding time test. Which value requires an immediate intervention? 1. White blood cell count of 13.2 103/mm3- 2. Hemoglobin 9 g/L 3. Platelet count of 70,000/mm3 4. Prothrombin time 12 seconds

3. Platelet count of 70,000/mm3

Which term does the nurse use when documenting an elevated red blood cell (RBC) count? 1. Anemia 2. Neutropenia 3. Polycythemia 4. Thrombocytopenia

3. Polycythemia

. A patient experiencing fatigue, pallor, and dyspnea on exertion has a complete blood count completed. The nurse correlates these clinical manifestations to which hematological disorder? 1. Polycythemia 2. Thrombocytopenia 3. Neutropenia 4. Anemia

4. Anemia

Which is an age-related hematological change the nurse anticipates when reviewing a complete blood count (CBC) for an older adult patient? 1. Increased hematocrit 2. Increased hemoglobin 3. Increased B and T cells 4. Increased sedimentation rate

4. Increased sedimentation rate

18. The nurse monitors which laboratory results in the patient with a clotting disorder caused by the intrinsic pathway? 1. Prothrombin time (PT) 2. Reticulocyte count 3. Complete blood cell (CBC) count 4. Partial thromboplastin time (PTT)

4. Partial thromboplastin time (PTT)

3. The nurse prioritizes which nursing diagnosis for the patient with a decreased neutrophil count? 1. Activity Intolerance 2. Fatigue 3. Risk for Bleeding 4. Risk for Infection

4. Risk for Infection

The nurse is reviewing the complete blood cell (CBC) count for a female patient recently admitted to the medical-surgical unit. The CBC count is as follows: platelet 180,000/mm3; hemoglobin 15 g/dL; red blood cells 4.4 million cells/mm3; white blood cells 6 103/mm3- . What is the nurse's analysis of these results? 1. The patient is anemic. 2. The patient has leukopenia. 3. The patient has thrombocytopenia. 4. The patient's laboratory values are within normal limits.

4. The patient's laboratory values are within normal limits.

2. A nurse is caring for a client who has a diagnosis of acute myelocytic leukemia (AML). Assessment of which factor most directly addresses the most common cause of death among clients with leukemia? A. Infection status B. Nutritional status C. Electrolyte levels D. Liver function

A. Infection status

33. A client with a diagnosis of prostate cancer is scheduled to have an interstitial implant for high-dose radiation (HDR). What safety measure should the nurse include in this client's plan of care? A. Limit the time that visitors spend at the client's bedside. B. Teach the client to perform all aspects of basic care independently. C. Assign male nurses to the client's care whenever possible. D. Situate the client in a shared room with other clients receiving brachytherapy.

A. Limit the time that visitors spend at the client's bedside

Which statement by a patient who was recently diagnosed with cancer indicates an understanding of the pathogenesis of cancer? A. "My cancer is probably caused by a disorder of my immune system." B. "My cancer is probably caused by a disorder of my endocrine system." C. "My cancer is probably caused by a disorder in my hematological system." D. "My cancer is probably caused by a disorder in my gastrointestinal system."

A. "My cancer is probably caused by a disorder of my immune system."

22. A client is receiving treatment for a new diagnosis of chronic lymphocytic leukemia (CLL). Based on known risk factors, age, ethnicity, and accompanying clinical conditions, which client is most likely to have this disease? A. 82-year-old Vietnam War veteran with widely disseminated shingles B. 62-year-old client of Asian descent with a left fractured hip C. 69-year-old Gulf War veteran with deep vein thrombosis (DVT) D. 85-year-old client of Native American/First Nation descent with chest pain

A. 82-year-old Vietnam War veteran with widely disseminated shingles

. A client with leukemia has developed stomatitis and is experiencing a nutritional deficit. An oral anesthetic has consequently been prescribed. What health education should the nurse provide to the client? A. Chew with care to avoid inadvertently biting the tongue. B. Use the oral anesthetic 1 hour prior to mealtime. C. Brush teeth before and after eating. D. Swallow slowly and deliberately.

A. Chew with care to avoid inadvertently biting the tongue.

5. The nurse is caring for a client who is scheduled for a lobectomy for lung cancer. While assisting with a subclavian vein central line insertion, the nurse notes that the client's oxygen saturation is rapidly dropping. The client reports shortness of breath and becomes tachypneic. The nurse suspects a pneumothorax has developed. Which further assessment finding would support the presence of a pneumothorax? A. Diminished or absent breath sounds on the affected side B. Paradoxical chest wall movement with respirations C. Sudden loss of consciousness D. Muffled heart sounds

A. Diminished or absent breath sounds on the affected side

Hemophilia A accounts for about 80% of all hemophilia cases. This condition is caused by a deficiency in: A. Factor VIII B. Factor VI C. Factor III D. Factor IV

A. Factor VIII

3. An oncology nurse is caring for a client with multiple myeloma who is experiencing bone destruction. When reviewing the client's most recent blood tests, the nurse should anticipate which imbalance? A. Hypercalcemia B. Hyperproteinemia C. Elevated serum viscosity D. Elevated red blood count (RBC)

A. Hypercalcemia

An oncology nurse recognizes a client's risk for fluid imbalance while the client is undergoing treatment for leukemia. What related assessments should the nurse include in the client's plan of care? Select all that apply. A. Monitoring the client's electrolyte levels B. Monitoring the client's hepatic function C. Measuring the client's weight on a daily basis D. Measuring and recording the client's intake and output E. Auscultating the client's lungs frequently

A. Monitoring the client's electrolyte levels C. Measuring the client's weight on a daily basis D. Measuring and recording the client's intake and output E. Auscultating the client's lungs frequently

22. The nurse is describing some of the major characteristics of cancer to a client who has recently received a diagnosis of malignant melanoma. When differentiating between benign and malignant cancer cells, the nurse should explain differences in which of the following aspects? Select all that apply. A. Rate of growth B. Ability to cause death C. Cell size D. Cell location E. Ability to spread

A. Rate of growth B. Ability to cause death E. Ability to spread

17. A 16-year-old female client has post-chemotherapy alopecia. This prompts the nursing diagnoses of Disturbed Body Image and Situational Low Self-Esteem. Which response by the client would best indicate improved coping related to these diagnoses? A. Requests that her family bring her makeup and a wig B. Begins to discuss the future with her family C. Reports less disruption from pain and discomfort D. Cries openly when discussing her disease

A. Requests that her family bring her makeup and a wig

7. While a client is receiving intravenous (IV) doxorubicin hydrochloride for the treatment of cancer, the nurse observes swelling and pain at the IV site. The nurse should prioritize which action? A. Stopping the administration of the drug immediately B. Notifying the client's health care provider C. Continuing the infusion but decreasing the rate D. Applying a warm compress to the infusion site

A. Stopping the administration of the drug immediately

1. An oncology nurse is providing health education for a client who has recently been diagnosed with leukemia. What should the nurse explain about commonalities between all of the different subtypes of leukemia? A. The different leukemias all involve unregulated proliferation of white blood cells. B. The different leukemias all have unregulated proliferation of red blood cells and decreased bone marrow function. C. The different leukemias all result in a decrease in the production of white blood cells. D. The different leukemias all involve the development of cancer in the lymphatic system.

A. The different leukemias all involve unregulated proliferation of white blood cells.

20. A 60-year-old client with chronic myeloid leukemia (CML) will be treated in the home setting, and the nurse is preparing appropriate health education. Which topic should the nurse emphasize? A. The importance of adhering to the prescribed drug regimen B. The need to ensure that vaccinations are up to date C. The importance of daily physical activity D. The need to avoid shellfish and raw foods

A. The importance of adhering to the prescribed drug regimen

A patient being treated for cancer has a tumor designation of stage IV, T4, N3, M1. What does this staging indicate to the nurse? A. The tumor has metastasized with lymph node involvement B. The tumor will respond to chemotherapy C. There is one single tumor to treat D. The tumor is small in size

A. The tumor has metastasized with lymph node involvement

16. A nurse practitioner is assessing a client who has a fever, malaise, and a white blood cell count that is elevated. What principle should guide the nurse's management of the client's care? A. There is a need for the client to be assessed for lymphoma. B. Infection is the most likely cause of the client's change in health status. C. The client is exhibiting signs and symptoms of leukemia. D. The client should undergo diagnostic testing for multiple myeloma.

B. Infection is the most likely cause of the client's change in health status.

A nurse is caring for a client with Hodgkin lymphoma at the oncology clinic. The nurse identifies the clinical manifestation as: A. Enlarged lymph nodes with are painless, hypocalcemia B. Enlarged painless lymph nodes, weight loss C. Fatigue, enlarged lymph nodes which are painful and hypertension D. Night sweats, one or more lymph nodes which are painless and high grade fever

B. Enlarged painless lymph nodes, weight loss

10. A client diagnosed with acute myeloid leukemia has just been admitted to the oncology unit. When writing this client's care plan, which potential complication should the nurse address? A. Pancreatitis B. Hemorrhage C. Arteritis D. Liver dysfunction

B. Hemorrhage

21. A client is undergoing diagnostic testing for chronic lymphocytic leukemia (CLL). Which assessment finding is certain to be present if the client has CLL? A. Increased numbers of blast cells B. Increased lymphocyte levels C. Intractable bone pain D. Thrombocytopenia with no evidence of bleeding

B. Increased lymphocyte levels

28. A client has just been diagnosed with lung cancer. After the health care provider discusses treatment options and leaves the room, the client asks the nurse how the treatment is decided upon. What would be the nurse's best response? A. "The type of treatment depends on the client's age and health status." B. "The type of treatment depends on what the client wants when given the options." C. "The type of treatment depends on the cell type of the cancer, the stage of the cancer, and the client's health status." D. "The type of treatment depends on the discussion between the client and health care provider of which treatment is best."

C. "The type of treatment depends on the cell type of the cancer, the stage of the cancer, and the client's health status."

19. A client has been hospitalized for a wedge resection of the left lower lung lobe after a routine chest x-ray showed carcinoma. The client reports feeling anxious and asks to smoke. Which statement by the nurse would be most therapeutic? A. "Smoking is the reason you are here." B. "The doctor left orders for you not to smoke." C. "You are anxious about the surgery. Do you see smoking as helping?" D. "Smoking is OK right now, but after your surgery it is contraindicated."

C. "You are anxious about the surgery. Do you see smoking as helping?"

37. The clinical nurse educator is presenting health promotion education to a client who will be treated for non-Hodgkin lymphoma on an outpatient basis. The nurse should recommend which of the following actions? A. Avoiding direct sun exposure in excess of 15 minutes daily B. Avoiding grapefruit juice and fresh grapefruit C. Avoiding highly crowded public places D. Using an electric shaver rather than a razor

C. Avoiding highly crowded public places

The nurse is performing an initial assessment of a 75-year-old client who has just relocated to the long-term care facility. During the nurse's interview with the client, the client admits drinking around 600 mL (20 oz) of vodka every evening. What types of cancer does this put the client at risk for? Select all that apply. A. Malignant melanoma B. Brain cancer C. Breast cancer D. Esophageal cancer E. Liver cancer

C. Breast cancer D. Esophageal cancer E. Liver cancer

12. During a routine mammogram, a client asks the nurse whether breast cancer causes the most deaths. Which type of cancer is the leading cause of death in the United States? A. Colorectal B. Prostate C. Lung D. Breast

C. Lung

What is the clinical manifestation of testicular cancer? A. Painful lump in the scrotum B. Decreased sensation in the anus or scrotum C. Painless lump in the scrotum D. Large lymph node in the scrotum

C. Painless lump in the scrotum

. Which nursing action best demonstrates primary cancer prevention? A. Encouraging yearly Pap tests B. Teaching testicular self-examination C. Promoting and providing vaccines D. Facilitating screening mammograms

C. Promoting and providing vaccines

21. The nurse is caring for an adult client recently diagnosed with the early stages of lung cancer. The nurse is aware that the preferred method of treating clients with non-small cell tumors is what method? A. Chemotherapy B. Radiation C. Surgical resection D. Bronchoscopic opening of the airway

C. Surgical resection

A nurse is performing an admission assessment on a 40-year-old man who has been admitted for outpatient surgery on the right knee. While taking the client's family history, the client states, "My father died of prostate cancer at age 48." The nurse should instruct the client on which of the following health promotion activities? A. The client will need PSA levels drawn starting at age 55. B. The client should have testing for presence of the CDH1 and STK11 genes. C. The client should have PSA levels drawn regularly. D. The client should limit alcohol use due to the risk of malignancy.

C. The client should have PSA levels drawn regularly.

14. A client with Hodgkin lymphoma is receiving information from the oncology nurse. The client asks the nurse why it is necessary to stop drinking and smoking and stay out of the sun. Which response by the nurse would be best? A. "Avoiding these factors can reduce the risk of Reed-Sternberg cells developing." B. "These behaviors can reduce the effectiveness of your chemotherapy." C. "Engaging in these activities increases your risk of hemorrhage." D. "It's important to reduce other factors that increase the risk of second cancers."

D. "It's important to reduce other factors that increase the risk of second cancers."

31. A clinic nurse is working with a client who has a long-standing diagnosis of polycythemia vera. How can the nurse best gauge the course of the client's disease? A. Document the color of the client's palms and face during each visit. B. Follow the client's erythrocyte sedimentation rate over time. C. Document the client's response to erythropoietin injections. D. Follow the trends of the client's hematocrit.

D. Follow the trends of the client's hematocrit.

The nurse teaches a patient with polycythemia to immediately report which clinical manifestations to his or her healthcare provider? Sata A. Pruritus B. Fatigue C. Temperature 100.4 (38.0C) D. Headache E. Orthopnea

D. Headache E. Orthopnea

25. A client has just been diagnosed with small cell lung cancer. The client asks the nurse why the doctor is not offering surgery as a treatment for the cancer. Which fact about lung cancer treatment should inform the nurse's response? A. The cells in small cell cancer of the lung are not large enough to visualize in surgery. B. Small cell lung cancer is self-limiting in many clients, and surgery should be delayed. C. Clients with small cell lung cancer are not normally stable enough to survive surgery. D. Small cell cancer of the lung grows rapidly and metastasizes early and extensively.

D. Small cell cancer of the lung grows rapidly and metastasizes early and extensively.