Chapter 34 PrepU

The nurse is caring for a client at high risk for thrombocythemia. Which treatments will the nurse anticipate being prescribed for this client? Select all that apply

Aspirin Anagrelide Hydroxyurea Interferon-alfa

A client who is undergoing chemotherapy for AML reports pain in the low back. What is the nurse's first action?

Assess renal function

An elderly client is hospitalized for induction of chemotherapy to treat leukemia. The client reports fatigue to the nurse. What nursing intervention would best address the client's fatigue?

Assist the client to sit in a chair for meals

The nurse is teaching the client about consolidation. What statement should be included in the teaching plan?

Consolidation therapy is administered to reduce the change of leukemia recurrence

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?

Leukocyte and platelet count

A client with polycythemia vera reports severe itching. What triggers does the nurse know can cause this distressing symptom? Select all that apply

Temperature change Alcohol consumption Exposure to water of any temperature

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

The nurse is caring for a client receiving treatment for non-Hodgkin lymphoma (NHL). Which assessment findings indicate to the nurse that the client is developing multifocal leukoencephalopathy? Select all that apply

Altered vision Change in speech Change in motor coordination

The nurse is teaching a client about the development of leukemia. What statement should be included in the teaching plan?

Chronic leukemia develops slowly

Which patient assessed by the nurse is most likely to develop myelodysplastic syndrome (MDS)?

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

The clinic nurse is caring for a client diagnosed with leukopenia. What does the nurse know this client has?

A general reduction in all white blood cells.

The nurse cares for a client with acute myeloid leukemia with severe bone pain. What pathophysiological concept does the nurse understand is the reason for the client's pain?

Bone marrow expands

A nurse reviews the laboratory results of a client with polycythemia vera. Which findings will the nurse fine? Select all that apply

Decreased erythropoietin Increased hemoglobin

A client with Hodgkin lymphoma is planning to receive the Stanford V treatment protocol. Which medication teaching will the nurse prepare for this client? Select all that apply

Etoposide Vinblastine Doxorubicin Mechlorethamine

When assessing a female client with a disorder of the hematopoietic or the lymphatic system, which assessment is most essential?

Health history, such as bleeding, fatigue, or fainting.

A client with primary myelofibrosis is diagnosed with splenomegaly. Which medications will the nurse prepare teaching for this client? Select all that apply

Hydroxyurea Thalidomide Pomalidomide

A nurse plans care for a client with multiple myeloma. Using the CRAB acronym for symptoms associated with this disease, which clinical features does the nurse expect to find upon assessment of the client? Select all that apply

Hypercalcemia Renal insufficiency Anemia Bone lesions

The nurse is teaching a client with acute lymphocytic leukemia (ALL) about therapy. What statement should be included in the plan of care?

Intrathecal chemotherapy is used primarily as preventative therapy

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

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

Pancytopenia

The hospitalized client is experiencing gastrointestinal bleeding with platelets at 9,000/mm3. The client is receiving prednisone and azathioprine. What action will the nurse take?

Perform a neurologic assessment with vital signs

A nurse is caring for an asymptomatic client with acute myelogenous leukemia. The client has a total white blood cell (WBC) count of 0, a platelet count of 3.000 mm2, and a hemoglobin level of 9 mg/dL. The client has a single lumen central venous catheter in place, and the health care provider has ordered the nurse to administer imipenem cilastatin 500 mg every 8 hours, transfuse 1 unit packed red blood cells (RBCs), give amphotericin B 40 mg I.V. over 4 hours, and transfuse 2 pheresis units of platelets. In what order should the nurse infuse these medication and blood products?

Platelets, imipenem cilastatin, amphotericin B, packed RBCs

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?

Reed-Sternberg cells

The nurse is assessing several clients. Which client does the nurse determine is most likely to have Hodgkin lymphoma?

The client with enlarged lymph nodes in the neck.

The nurse is caring for a patient who will begin taking long-term biphosphate therapy. Why is it important for the nurse to encourage the patient to receive a thorough evaluation of dentition, including panoramic dental x-rays?

The patient can develop osteonecrosis of the jaw

A nurse is providing teaching to a client who will undergo chemotherapy and radiation prior to hematopoietic stem cell transplantation (HCST) for acute myeloid leukemia (AML). What statement will the nurse use to describe the purpose of the chemotherapy and radiation?

These therapies destroy the ability of your body to produce blood cells inside your bone marrow.

A nurse cares for an adult client with chronic lymphocytic leukemia (CLL). Which statements regarding the disease will the nurse include in the teaching? Select all that apply

This type of leukemia primarily impacts older adults. This type of leukemia is rarely seen in certain ethnicities.

The nurse is caring for a client with acute lymphocytic leukemia (ALL) who is Philadephia chromosome negative. Which medications will the nurse anticipate providing to the client during initiation of pharmacological therapies? Select all that apply.

Vincristine Dexamethasone

A client diagnosed with polycythemia vera has come into the clinic because he has developed a nighttime cough, fatigue, and SOB. What complication would you suspect in this client?

Congestive heart failure