A2 EX.5 PREP U CH.34

Platelets

150,000-400,000

Hematocrit levels

males 42%-52%; females 37%-47%

Hemoglobin levels

males: 14-18 females: 12-16

The nurse is interacting with a family that has been caring for a client with cancer for several months. What are the best interventions to assist in relieving caregiver stress in this family? Select all that apply. Allow family members to express feelings. Suggest the family go to church more often. Educate the family about medications and side effects. Suggest the prescription of antianxiety medications. Suggest support for household maintenance.

Educate the family about medications and side effects. Allow family members to express feelings. Suggest support for household maintenance.

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? Asparaginase Hydroxyurea Allopurinol Filgrastim

Allopurinol

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? Bone marrow depression Remission Graft-versus-host disease Acute respiratory distress syndrome

Graft-versus-host disease

Which term refers to a form of white blood cell involved in immune response? Thrombocyte Lymphocyte Granulocyte Spherocyte

Lymphocyte

A client has completed induction therapy and has diarrhea and severe mucositis. What is the appropriate nursing goal? Maintain nutrition. Place the client in reverse isolation. Address issues of negative body image. Administer pain medication.

Maintain nutrition.

A nurse cares for a client with early Hodgkin lymphoma. While assessing the client, the nurse will most likely find painless enlargement of which lymph node? Maintain nutrition. Popliteal Inguinal Axillary

Maintain nutrition.

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? Multiple myeloma Polycythemia vera Leukemia Hemolytic anemia

Multiple myeloma

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? Chronic myeloid leukemia Hodgkin lymphoma Non-Hodgkin lymphoma Multiple myeloma

Multiple myeloma

The nurse is caring for a client with multiple myeloma. Why would it be important to assess this client for fractures? Osteosarcomas form producing pathologic fractures. Osteopathic tumors destroy bone causing fractures. Osteoclasts break down bone cells so pathologic fractures occur. Osteolytic activating factor weakens bones producing fractures.

Osteoclasts break down bone cells so pathologic fractures occur.

A client is awaiting test results to diagnose Hodgkin lymphoma. The nurse knows that which result is the hallmark for the diagnosis of this condition? Increased basophils Reed-Sternberg cells Misshaped red blood cells Elevated platelet count

Reed-Sternberg cells

A client is taking hydroxyurea as treatment for essential thrombocythemia. Which laboratory test will the nurse remind the client to have completed regularly? Complete blood count Clotting factors Uric acid level Serum potassium level

Complete blood count

A client is receiving radiation therapy for lesions in the abdomen from non-Hodgkin's lymphoma. Because of the effects of the radiation treatments, what will the nurse assess for? Laryngeal edema Diarrheal stools Hair loss Adventitious lung sounds

Diarrheal stools

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? bone breast colon lung

lung

A patient with 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 will the nurse explain that the patient will receive? Induction therapy Supportive therapy Antimicrobial therapy Standard therapy

Induction therapy

A nurse is caring for a client with multiple myeloma. Which nursing intervention is most appropriate for this client? Monitoring respiratory status Balancing rest and activity Restricting fluid intake Preventing bone injury

Preventing bone injury

A client with polycythemia vera presents to the primary care clinic for an annual physical. Which health care provider prescriptions does the nurse recognize as preventive measures to prevent thrombosis in the client? Select all that apply. Beta blocker therapy Iron therapy Anti-dysrhythmia therapy Statin therapy Nitrate therapy

Statin therapy Beta blocker therapy

The clinic nurse is caring for a client diagnosed with leukopenia. What does the nurse know this client has? A general reduction in neutrophils and basophils A general reduction in all white blood cells Too many erythrocytes A decrease in granulocytes

A general reduction in all white blood cells

A client is being evaluated for a diagnosis of chronic myeloid leukemia (CML). What diagnostic indicator will the nurse assess? A leukocyte count >100,000/mm3 An enlarged liver Lymphadenopathy Increased number of blast cells

A leukocyte count >100,000/mm3

Which patient assessed by the nurse is most likely to develop myelodysplastic syndrome (MDS)? A 40-year-old patient with a history of hypertension A 72-year-old patient with a history of cancer A 24-year-old female taking oral contraceptives A 52-year-old patient with acute kidney injury

A 72-year-old patient with a history of cancer

Which nursing intervention should be incorporated into the plan of care to manage the delayed clotting process in a client with leukemia? Apply prolonged pressure to needle sites or other sources of external bleeding. Monitor temperature at least once per shift. Implement neutropenic precautions. Eliminate direct contact with others who are infectious.

Apply prolonged pressure to needle sites or other sources of external bleeding.

A client with AML has pale mucous membranes and bruises on the legs. What is the primary nursing intervention? Check the client's history. Assess the client's pulse and blood pressure. Assess the client's hemoglobin and platelets. Assess the client's skin.

Assess the client's hemoglobin and platelets.

A client presents with peripheral neuropathy and hypoesthesia of the feet. What is the best nursing intervention? Encourage ambulation. Elevate the client's legs. Assess for signs of injury. Keep the feet cool.

Assess for signs of injury.

A nurse is caring for a client with multiple myeloma. Which laboratory value is the nurse most likely to see? Hypernatremia Hypercalcemia Hyperkalemia Hypermagnesemia

Hypercalcemia

The hospitalized client is experiencing gastrointestinal bleeding with a platelets at 9,000/mm³. The client is receiving prednisone and azathioprine. What action will the nurse take? Request a prescription of diphenoxylate and atropine for loose stools. Use contact precautions with this client. Teach the client to vigorously floss the teeth to prevent infections. Perform a neurologic assessment with vital signs.

Perform a neurologic assessment with vital signs.

The nurse is performing an assessment on a patient with acute myeloid leukemia (AML) and observes multiple areas of ecchymosis and petechiae. What laboratory study should the nurse be concerned about? Creatinine level of 1.0 mg/dL WBC count of 4,200 cells/uL Hematocrit of 38% Platelet count of 9,000/mm3

Platelet count of 9,000/mm3

A client with multiple myeloma reports severe paresthesia in the feet. When planning care for the client, which priority nursing diagnosis will the nurse choose? Risk for falls Sensory-perception disturbance Acute pain Impaired tissue integrity

Risk for falls

Which statement best describes the function of stem cells in the bone marrow? They defend against bacterial infection. They are active against hypersensitivity reactions. They produce all blood cells. They produce antibodies against foreign antigens.

They produce all blood cells.

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? Hemolytic anemia Multiple myeloma Leukemia Polycythemia vera

Multiple myeloma

The nurse is assessing several clients. Which client does the nurse determine is most likely to have Hodgkin lymphoma? The client with painful lymph nodes in the groin. The client with painful lymph nodes under the arm. The client with enlarged lymph nodes in the neck. The client with a painful sore throat.

The client with enlarged lymph nodes in the neck.

The nurse is assessing several clients. Which client does the nurse determine is most likely to have Hodgkin lymphoma? The client with painful lymph nodes under the arm. The client with painful lymph nodes in the groin. The client with a painful sore throat. The client with enlarged lymph nodes in the neck.

The client with enlarged lymph nodes in the neck.