cancer prep u 30

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

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

A client who is undergoing chemotherapy for AML reports pain in the low back. What is the nurse's first action? Refer the client to a chiropractor. Place heating pads on the client's back. Administer pain medication, as ordered. Assess renal function.

Assess renal function.

A nurse reviews the laboratory results of a client with polycythemia vera. Which findings will the nurse find? Select all that apply. Decreased erythropoietin Increased hemoglobin Increased erythropoietin Decreased platelets Decreased leukocytes

Decreased erythropoietin Increased hemoglobin

When learning about HIV/AIDS, the student should be able to differentiate the two subtypes of virus by which characteristic? means of transmission HIV-1 is more prevalent than HIV-2 subtypes the fact that it is a mutated virus originally thought to be bovine in nature cure rate

HIV-1 is more prevalent than HIV-2 subtypes

The nurse is teaching a client diagnosed with Hodgkin's lymphoma about metastasis. What type of cancer is the most likely to appear as a secondary malignancy in clients with Hodgkin's lymphoma disease? lung breast colon bone

lung

The nurse is discussing disorders of the hematopoietic system when a client asked about erythrocytosis. What disease will the nurse mention with a primary characteristic of erythrocytosis? polycythemia vera sickle cell disease aplastic anemia pernicious anemia

polycythemia vera

A client experiencing flu-like symptoms over the last several weeks is concerned about being symptomatic for the HIV virus. After determining risk factors for contraction of the HIV virus, the nurse knows which tests may be ordered for this client? Select all that apply. HIV-1 p24 antigen test HIV-1 differentiation assay HIV-1/HIV-2 immunoassay HIV-1 nucleic acid amplification test HIV/1-HIV-2 antigen/antibody combination immunoassay

HIV-1 p24 antigen test HIV-1 nucleic acid amplification test

Which microorganism is known to cause retinitis in people with HIV/AIDS? Cytomegalovirus Cryptococcus neoformans Mycobacterium avium Pneumocystis carinii

Cytomegalovirus

A client with Hodgkin lymphoma is planning to receive the Stanford V treatment protocol. Which medication teaching will the nurse prepare for this client? Etoposide, Vinblastine, Doxorubicin, Mechlorethamine

Etoposide, Vinblastine, Doxorubicin, Mechlorethamine

The nurse is preparing a teaching plan for a client with an immunodeficiency. What aspect would the nurse emphasize as most important?

Frequent and thorough handwashing

HIV is harbored within which type of cell? Lymphocyte Platelet Erythrocyte Nerve

Lymphocyte

The nurse is assessing a client admitted with a deep vein thrombosis with an elevated red blood cell count. The admitting diagnosis is polycythemia vera. What is the hallmark clinical sign of PV? splenomegaly weight gain peripheral edema pale body color

splenomegaly

The nurse is caring for a client with acute myeloid leukemia (AML) with high uric acid levels. What medication does the nurse anticipate administering that will prevent crystallization of uric acid and stone formation? Allopurinol Filgrastim Hydroxyurea Asparaginase

Allopurinol

A client with chronic lymphocytic leukemia (CLL) experiences frequent bacterial infections. Which medication will the nurse anticipate being prescribed for this client? Acyclovir Dasatinib Clotrimazole Asceniv

Asceniv

A client receiving antiretroviral therapy reports "not urinating enough." What is the nurse's best action? Encourage the client to drink more fluids. Administer fluids 100 mL/hour IV. Assess blood urea nitrogen and creatinine. Assess liver function tests.

Assess blood urea nitrogen and creatinine.

A client who is HIV positive is receiving highly active antiretroviral therapy (HAART) that includes a protease inhibitor (PI). The client comes to the clinic for a follow-up visit. Assessment reveals lipoatrophy of the face and arms. The client states, "I'm thinking the side effects of the drug are worse than the disease. Look what's happening to me." The nurse would most likely identify which nursing diagnosis as the priority? Deficient knowledge related to the effects of the disease Risk for infection related to the immune system dysfunction Disturbed body image related to loss of fat in the face and arms Risk for impaired liver function related to drug therapy effects

Disturbed body image related to loss of fat in the face and arms

A client with severe combined immunodeficiency is to receive a hematopoietic stem cell transplant. What would the nurse expect to be started? Antibiotic therapy Immunosuppressive agents Chest physiotherapy Anticoagulation

Immunosuppressive agents

A patient in the clinic states, "My boyfriend told me he went to the clinic and was treated for gonorrhea." While testing for the sexually transmitted infection (STI), what else should be done for this patient? Test for HIV without informing the patient. Test for HIV, requiring the patient to sign a permit. Inform the patient that it would be beneficial to test for HIV. Administer treatment for the STI and discharge the patient.

Inform the patient that it would be beneficial to test for HIV.

The nurse is administering packed red blood cell (RBC) transfusions for a patient with myelodysplastic syndrome (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? Creatinine and blood urea nitrogen (BUN) levels Iron levels Magnesium levels Potassium levels

Iron levels

Which term refers to an abnormal decrease in white blood cells, red blood cells, and platelets? Anemia Pancytopenia Leukopenia Thrombocytopenia

Pancytopenia

Which characteristic has NOT been implicated as a factor for noncompliance with antiretroviral treatment? Active substance abuse Depression Past substance abuse Lack of social support

Past substance abuse

The nursing instructor is discussing disorders of the hematopoietic system with the pre-nursing pathophysiology class. What disease would the instructor list with a primary characteristic of erythrocytosis? Polycythemia vera Sickle cell disease Aplastic anemia Pernicious anemia

Polycythemia vera

A client is diagnosed with severe combined immunodeficiency (SCID). What would the nurse expect to integrate into the client's plan of care? Administration of antifungal agents Preparation for bone marrow transplantation Administration of granulocyte colony-stimulating factors Preparation for a thymus graft

Preparation for bone marrow transplantation

The nurse is caring for a client who has a diagnosis of human immunodeficiency virus (HIV). Part of this client's teaching plan is educating the client about his or her medications. What is essential for the nurse to include in the teaching of this client regarding medications? The use of condoms What vaccinations to have Side effects of drug therapy The action of each antiretroviral drug

Side effects of drug therapy

A client diagnosed with human immunodeficiency virus (HIV) asks how the health care provider determines what his or her viral load is. What is the nurse's best response? The health care provider can have a sedimentary rate run. The health care provider can have a basic metabolic panel run. The health care provider can have an ELISA test run. The health care provider can have a polymerase chain reaction test run.

The health care provider can have a polymerase chain reaction test run.

A client with end-stage acquired immunodeficiency syndrome (AIDS) has profound manifestations of Cryptosporidium infection caused by the protozoa. What client need should in the nurse focus on when planning this client's care? pain management fluid replacement antiretroviral therapy high-calorie nutrition

fluid replacement

A client has multiple myeloma. Prior to starting treatment with thalidomide, what it is most important action for the nurse to take? Contract with the client regarding birth-control methods. Instruct the client about signs and symptoms of hypercalcemia. Encourage the client to drink at least 3000 mL of fluids per day. Assess the client's BUN and creatinine levels frequently.

Contract with the client regarding birth-control methods.

The nurse is educating a client taking imatinib mesylate for treatment of leukemia. What should the nurse be sure to include when educating the client on the best way to take the medication to optimize absorption? Take the medication with a source of vitamin C to enhance absorption. Take antacids if needed for gastrointestinal (GI) upset 2 hours after taking imatinib mesylate. Take the medication with food to enhance absorption. Take the medication with acetaminophen to prevent decreased absorption and GI upset.

Take antacids if needed for gastrointestinal (GI) upset 2 hours after taking imatinib mesylate.