Leukemia/Lymphomas

A nurse is providing teaching to the parents of a school-age child who has leukemia. The parents inform the nurse they have taken their child out of sports at school for the upcoming year. Which of the following responses should the nurse make? A. "It must be upsetting for you to see your child unable to participate in an activity they enjoy." B. "Sports can be a dangerous sport for children anyway." C. "You never know. Your child could be ready for sports by the spring." D. "Why did you take your child's name off the list for playing sports?

A. "It must be upsetting for you to see your child unable to participate in an activity they enjoy."

A nurse is caring for a school-age child who has a new diagnosis of leukemia and has expressed a desire to spend time with friends. The child's parent states, "I can't have other children around my daughter. What if they make her more ill?" Which of the following responses should the nurse give? A. "What are your feelings about your child's need to socialize with peers?" B. "Have you thought about homeschooling your child to keep other children away from her?" C. "I agree. Your child's well-being is the most important." D. "You sound overprotective. Let's talk about this some more."

A. "What are your feelings about your child's need to socialize with peers?"

A client with leukemia is scheduled for bone marrow transplantation. Which of the following tests and procedures need to be completed before the transplantation? A. Crossmatching of client's serum against the donor's lymphocytes B. Administration of acyclovir (Zovirax) C. Administration of ganciclovir (Cytovene) D. Deep cough and breathing exercises E. Give instruction prior to surgery

A. Crossmatching of client's serum against the donor's lymphocytes B. Administration of acyclovir (Zovirax) C. Administration of ganciclovir (Cytovene)

A nurse is providing education to a client who is preparing to undergo radiation therapy for treatment of head and neck cancer. Which of the following complications of radiation therapy will the nurse include in the teaching? A. Jaw stiffness, nausea, and lymphedema B. Shortness of breath and stiffness in the shoulders C. Cough and fever D. Lung fibrosis and diarrhea

A. Jaw stiffness, nausea, and lymphedema

The nurse is auditing the Kardex and medication charts of clients with substance withdrawal and abuse. Dosages and frequencies are correctly encoded. Which of the following medications is inappropriate for clients with substance abuse and withdrawal? A. Mechlorethamine (Mustargen) B. Acamprosate (Campral) C. Buprenorphine (Subutex) D. Lorazepam

A. Mechlorethamine (Mustargen)

A nurse is creating a plan of care for a client who has chemotherapy-induced nausea and vomiting. Which of the following dietary interventions should the nurse include to minimize the client's nausea? A. Provide the client with foods that are at room temperature. B. Request foods that have a high fat content to increase the client's interest in eating. C. Allow the client to use an assortment of spices to enhance the flavor of bland foods. D. Serve additional liquid beverages for the client at mealtimes

A. Provide the client with foods that are at room temperature.

A nurse on a medical unit is assigned to five newly admitted clients. Which of the following clients will require airborne precautions? A. A client with AIDS admitted for dehydration due to severe diarrhea B. A client with a positive Purified Protein Derivative (PPD) and an abnormal chest X-ray C. A client with lymphoma involving the lungs with hemoptysis D. A client with symptoms suggestive of influenza, who has altered immune function E. A client with pneumococcal pneumonia and a possible empyema

B. A client with a positive Purified Protein Derivative (PPD) and an abnormal chest X-ray

A nurse in a provider's office is reviewing the laboratory findings for a client who is receiving chemotherapy. The client has a platelet count of 60,000/mm3. Which of the following actions should the nurse take first? A. Provide the client with information about the treatment. B. Discuss these findings with the provider. C. Ask the client to return to the clinic for further laboratory tests. D. Obtain a referral to a specialized provider

B. Discuss these findings with the provider.

A nurse is caring for a client with mantle cell lymphoma who has been in hospice for several weeks. His death is expected within the next several hours. Which of the following is the most appropriate nursing intervention for this client at this time? A. Support his wish to discontinue curative treatment B. Encourage loved ones to remain with the client C. Help the client overcome any feelings of inadequacy D. Reduce the client's fear of being a burden on his family

B. Encourage loved ones to remain with the client

The nurse is providing care for a client with acute myeloid leukemia. Which of the following nursing diagnoses are appropriate for this client? (Select all that apply) A. Fluid volume excess B. Imbalanced nutrition C. Risk for autonomic dysreflexia D. Ineffective protection E. Acute confusion

B. Imbalanced nutrition D. Ineffective protection

A nurse is caring for a child who has retinoblastoma. Which of the following findings should the nurse expect? A. Abdominal fullness B. Leukocoria C. Blast cells in the bone marrow. D. Visible mass in the oropharynx

B. Leukocoria

A nurse is reviewing laboratory results of a client who has a WBC count of 20,000/mm3. The nurse should identify that the client has which of the following conditions? A. Neutropenia B. Leukocytosis C. Thrombocytosis D. Leukopenia

B. Leukocytosis

A nurse is assisting with the admission of a toddler who has a unilateral Wilms' tumor. Which of the following interventions should the nurse take? A. Palpate the child's abdomen to identify the size of the tumor. B. Prepare the toddler for surgery. C. Teach the parents about dialysis. D. Refer the toddler for hospice services.

B. Prepare the toddler for surgery.

A client with ankylosing spondylitis is discouraged because of his inability to continue working as a carpenter without severe pain. He has received a new prescription for etanercept. Which of the following nursing diagnoses is the priority for this client with regards to the new prescription? A. Depression B. Risk for infection C. Risk for cardiac arrhythmia D. Impaired physical mobility

B. Risk for infection

A nurse is caring for a client scheduled for an elective surgical procedure. The client is concerned about the risk of HIV transmission if blood transfusion is required. The nurse advises the client that the risk of a disease transmission and transfusion reaction is reduced by: A. Iron supplementation for 3 weeks prior to surgery to increase hemoglobin concentration B. Storing blood donated by family members prior to surgery C. Autologous blood donation prior to surgery D. Purchasing blood from a bank that screens multiple times

C. Autologous blood donation prior to surgery

A nurse is completeing the admission assessment on a client who has suspected lung cancer. Which of the following manifestations should the nurse expect? A. Temperature of 38.9° C (102° F) for more than 36 hr B. Night sweats C. Dysphagia D. Frothy sputum E. Pain in the backs of the legs

C. Dysphagia D. Frothy sputum

nurse is caring for a schoolage child who is experiencing nausea and vomiting due to a highly emetogenic chemotherapy. The nurse should anticipate that the provider will prescribe which of the following medications? A. Metoclopramide PRN B. Diphenhydramine PRN C. Ondansetron every 6 hr D. Cisplatin every 4 hrs.

C. Ondansetron every 6 hr

The nurse is assessing a client with chronic myeloid leukemia (CML). Which of the following does the nurse expect may be found on assessment? A. Lymphadenopathy B. Hyperplasia of the gum C. Bone pain from expansion of marrow D. Hepatomegaly

D. Hepatomegaly

A nurse is preparing to administer a buccal medication to a client who has been undergoing chemotherapy. The client complains that he has sores in his mouth. Which of the following nursing actions would best manage this situation? A. Find a spot in the mouth that doesn't have sores and place the medication in that area. B. Tell the client to swallow the drug instead of instilling it in the cheek C. Give the client a glass of water to drink after the medication has dissolved D. Hold the medication and contact the healthcare provider

D. Hold the medication and contact the healthcare provider