MS PMCQ Exam 3
a nurse is reviewing orders for pts newly diagnosed with T2DM. what initial medication orders should be anticipated a. metofrmin PO 2x a day b. nutritional insulin subcut prior to meals c. basal insulin subcut before bed d. correctional insulin subcut after meals
A
the charge nurse is reviewing orders for newly admitted pt with T1DM. it is a priority for the charge nurse to follow up with the provider about which order? a. novolog insulin subcut at bedtime b. novolog insulin subcut 15mins prior to meals c. basal insulin subcut at bedtime d. correctional and nutritional insulin admin immed after the meal
A
the female pt recently diagnosed with Hodgkin's lymphoma asks the nurse about her prognosis. what is the nurses best response a. survival for Hodgkin's disease is relatively good with standard therapy b. survival depends on becoming involved in an investigational therapy program c. survival is poor, with more than 50% of pt dying within 6 months d. survival is fine for primary Hodgkin's but secondary cancers occur within a year
A
the home health nurse is completing the admission assessment for a 76yo pt diagnosed with T2DM controlled with 70/30 insulin. which intervention should be included in the plan of care? a. assess the pt ability to read small print b. monitor the pt serum prothrombin time (PT level) c. teach the pt how to perform a hemoglobin A1C test daily d. instruct the pt to check the feet weekly
A
the nurse and the LPN are caring for pt on the oncology floor. which pt should not be assigned to the LPN a. the pt newly diagnosed with the chronic lymphocytic leukemia b. the pt who is 4 hours post bone marrow biopsy c. the pt who received 2 units of PRBCs on the previous shift d. the pt who is receiving multiple IV piggyback medications
A
the nurse correlates which lab value with the diagnosis of DM? a. fasting blood glucose level >140 mg/dL b. hemoglobin A1C 5.8% c. random blood glucose level 150 mg/dL d. OGTT 155mg/dL
A
the nurse is developing a plan for the pt diagnosed with T1DM. the nurse identifies the problem "high risk for hyperglycemia r/t noncompliance with medication regimen" which statement is appropriate short term goal for the pt a. the pt will have a BS level between 90-140mg/dL b. the pt will demonstrate appropriate insulin injection technique c. the nurse will monitor the pt blood glucose level 4x/day d. the pt will maintain normal kidney function with 30mL/hr urine output
A
the nurse prioritizes which nursing diagnosis in the plan of care for the patient with T2DM a. risk for infection b. risk for falls c. risk for gas exchange d. risk for hyperkalemia
A
the nurse recognizes which statement as correct about blood cell transformation? a. it occurs mostly in the marrow found in flat bones such as the sternum, ribs and pelvis b. it occurs mostly in the marrow found in the shaft of long bones c. it occurs outside the marrow, once it enters the circulatory system d. it occurs after birth until late adolesence
A
the nurse understands that it is essential for the patient to have which blood test before initiating folic acid supplement? a. vit B12 level b. pregnancy test c. CBC d. liver enzymes
A
the pt diagnosed with T1DM is found lying unconscious on the floor of the bathroom. which intervention should the nurse implement first? a. admin 50% dextrose IVP b. notify the HCP c. move the pt to the ICU d. check the serum glucose level
A
which nursing action is indicated for the pt with thrombocytopenia? a. avoid IM injections b. encourage the pt to drink plenty of fluids c. place the pt on isolation percautions d. encourage freq rest periods
A
which sign would the nurse expect to assess in the pt diagnosed with idiopathic thrombocytopenia purpura (ITP) a. petechiae on the anterior chest, arms and neck b. capillary refill of less than 3 seconds c. an enlarged spleen d. pulse ox reading 95%
A
the pt is being admitted with folic acid deficiency anemia. which would be the most appropriate referral? a. AA b. leukemia society of America c. hematologist d. a social worker
A why? most pt diagnosed with folic acid deficiency have developed anemia from chronic alcohol abuse
the nurse administers 28 units of humulin N, an intermediate acting insulin to a pt diagnosed with T1DM at 1600. which intervention should the nurse implement? a. ensure the pt eats the bedtime snack b. determine how much food the pt ate at lunch c. perform a glucometer reading at 0700 d. offer the pt protein after admin insulin
A why? the peak is 6-8 hours making the pt at risk for hypoglycemia around midnight. the snack will prevent nighttime hypoglycemia
the nurse recognizes that a deficiency in the clotting factor may cause which findings? *SELECT ALL THAT APPLY* a. easy bruising and cutaneous hematoma formation with minor trauma ( ex an injection) b. bleeding from the gums, and prolonged bleeding following minor injuries or cutes c. enhanced platelet aggregation and increased clumping of RBCs d. fibrin molecules form fibrin threads to increase wound healing e. yellowish skin color
A,B
the nurse recognizes which of the following statements as correct in relation to the pathophysiology of T2DM *SELECT ALL THAT APPLY* a. it is due to relative lack of insulin b. it is due to insulin resistance c. it is due to an absolute lack of insulin d. it remains stable over time e. it is due to an autoimmune process that destroys the beta cells of the pancreas
A,B
the nurse recognizes that blood glucose monitoring before meals and at bedtime is done to achieve what outcomes? *SELECT ALL THAT APPLY* a. maintain glycemic control b. prevent complications of long term hyperglycemia c. facilitate insulin admin that mimics the healthy pancreas d. provide frequent practice with the finger stick technique e. prevent acute complications of T1DM
A,B,C
the nurse monitors for which clinical manifestation in the patient newly diagnosed with T1DM? *SELECT ALL THAT APPLY* A. POLYURIA B. FATIGUE C. WEIGHT LOSS D. POLYPHAGIA E. DECREASED APPETITE
A,B,C,D
the nurse writes a diagnosis of altered tissue perfusion for a pt diagnosed with anemina. which interventions should be included in the plan of care? *SELECT ALL THAT APPLY* a. monitor the pt hemoglobin and hematocrit b. move the pt to a room near the nurses desk c. limit the pt dietary intake of green vegatables d. assess for numbness and tingling e. allow for rest periods during the day for the pt
A,B,C,D
The parent of a teen in sickle cell crisis asks the nurse about the long-term impact of these acute episodes. What complications are possible? *SELECT ALL THAT APPLY* a. Hand-foot syndrome b. Delayed puberty c. Cognitive impairment d. Diabetes e. Psychosocial issues
A,B,C,E
A diabetic educator is teaching a class on T1DM and is discussing sick day rules . which intervention should the diabetes educator include in the discussion *SELECT ALL THAT APPLY* a. take diabetic medications even if unable to eat a normal diabetic diet b. if unable to eat, drink liquids equal to the pt normal caloric intake c. it is not necessary to notify the HCP if ketones are in the urine d. test blood glucose levels and test urine ketones once a day and keep a record e. call the HCP if glucose levels are higher than 180 mg/dL
A,B,E
A nurse is caring for a patient with acute myelocytic leukemia who has been admitted to the oncology department due to leukostasis. What are the most important nursing interventions for this patient? *SELECT ALL THAT APPLY* a. Monitor white blood cell count. b. Assess for signs of occluded microcirculation. c. Monitor calcium, phosphorous, and renal function. d. Assess for edema of the face and eyes. e. Assess for signs of bleeding.
A,B,E
A nurse is educating patients about cancer prevention. Which cancer prevention measure stated by one of the patients indicates a need for further teaching? *SELECT ALL THAT APPLY* a. "I should include 150 minutes of vigorous activity per week." b. "I should ensure that as a woman I do not consume more than two drinks per day." c. "I should avoid exposure to known carcinogens such as tobacco." d. "I should try to maintain a healthy weight." e. "I should eat a starch-based diet to stay healthy."
A,B,E
A nurse is teaching about the epidemiology of leukemia. Which statements indicate a need for further teaching? Select all that apply. a. "Leukemia is prevalent in black women older than 50 years of age" b. "Patients who have had several years of chemotherapy treatment are at a risk of developing leukemia." c. "Acute lymphoblastic leukemia is prevalent mainly in older adults." d. "Down syndrome is a risk factor for leukemia." e. "There are four major types of leukemia."
A,C
age related changes that affect the hematological system include which of the following? *SELECT ALL THAT APPLY* a. iron binding decreases b. the number of stem cells in the marrow increases c. lymphocytes function, especially cellular immunity d. platelet adhesiveness decreases e. hematocrit decreases
A,C
A patient is experiencing an acute episode of sickle cell crisis. What treatments should the nurse request from the healthcare provider? *SELECT ALL THAT APPLY* a. Oxygen b. Blood transfusion c. Opioid pain medication d. Intravenous fluids e. Antipyretics
A,C,D
The nurse is caring for a patient with leukemia who is receiving chemotherapy and radiation. Which precautions should the nurse take for this patient? *SELECT ALL THAT APPLY* a. Wash hands frequently or use alcohol-based hand sanitizer. b. Keep fresh cut flowers in the room. c. instruct the patient to refrain from consuming raspberries and blackberries d. Teach the patient to refrain from meeting very sick people or pets. e. Monitor the patient's rectal temperature.
A,C,D
Which individuals are likely to develop vitamin B12 anemia? Select all that apply. a. An older adult patient b. A premenopausal patient c. A patient with a recent gastrointestinal (GI) resection d. A patient who is a long-term vegetarian e. A patient with blood loss following an accident
A,C,D
the nurse correlates which lab values with being dianostic for DKA *SELECT ALL THAT APPLY* a. serum bicarbonate of 18 mEq/L b. negative anion gap c. serum glucose of 350 mg/dL d. positive anion gap e. arterial pH of 7.36
A,C,D
the pt diagnosed with leukemia is scheduled for bone marrow transplantation. which interventions should be implemented to prepare the pt for this procedure? *SELECT ALL THAT APPLY* a. administer high dose chemo b. teach the pt about the autologous transfusion c. have the family members HLA typed d. monitor the CBC daily e. provide central line care per protocol
A,C,D,E
Which is a cause of folic acid deficiency? *SELECT ALL THAT APPLY* a. Pregnancy b. Radiation therapy c. Hemodialysis d. Vegetarian diet e. Alcoholism
A,C,E
the nurse is screening patients for the risk of developing T2DM. the nurse should consider what patients at risk? *SELECT ALL THAT APPLY* a. women with a hx of gestational diabetes b. women with a hx of multiple births c. men with a hx of pancreatic cancer d. men who are overweight or obese e. men and women with cardiovascular disease
A,D,E
A patient with lung cancer is diagnosed with superior vena cava syndrome. Which action is most appropriate for this patient? a. Assessing for signs of fluid overload b. Assessing for decreased cardiac output c. Assessing for signs of renal dysfunction d. Assessing for signs of respiratory distress
B
Which is true regarding the pathophysiology of leukemia? a. The uncontrollable production of white blood cells is called apoptosis. b. An unknown stimulus mutates a lymphoid stem cell. c. Programmed cell death is called leukocytosis. d. The cloning process of the leukemic cell is controllable.
B
cancer is the ____ most common cause of death in the united states a. first b. second c. third d. fourth
B
the nurse and UAP are caring for pts on a medical unit. which task should the nurse delegate to the UAP a. check on the bowel movements on a pt w/ melena b. take v/s of a pt who received blood the day before c. evaluate the dietary intake of a pt who has been noncompliant with eating d. shave the pt diagnosed with severe hemolytic anemia
B
the nurse correlates which diagnostic result as increasing the risk for infection in the patient with leukemia? a. WBC 11^3/mm3 b. ANC 500mm3 c. Hbg 8.6 d/dL d. platelets 112,000 mm3
B
the nurse is asked to obtain a differential after the results of the CBC reveal an elevated WBC count. which statement is true about a differential a. determines the percentage of platelets in the circulating blood b. determines the proportion of each type of WBC in a blood sample c. if the infection is bacterial, then the neutrophil count will be decreased d. if the basophils are elevated, then the pt has a viral infection
B
the nurse is assigned to a patient with thrombocytopenia. what is the priority goal of nursing care? a. prevention of infection b. prevention of injury c. prevention of dehydration d. prevention of nutritional deficit
B
the nurse is caring for pt on an oncology unit. which neutropenia precaution should be implemented? a. hold all venipuncture sites for at least 5 mins b. limit fresh fruits and flowers c. place all pt in reverse isolation d. have the pt us a soft bristle tooth brush
B
the nurse is providing care for a pt newly diagnosed with T1DM. which lifestyle modifications need to be included in the plan of care? a. limiting exercise, carbohydrate counting, self monitoring BSL b. distributing carb intake throughout the day, controlling weight, limiting alcohol c. carb counting, self monitoring BSL, HCP visits as needed d. limiting protein intake, distributing carb intake throughout the day, regular HCP visits
B
the nurse understands that an important laboratory assessment parameter for a patient with cancer that has metastasized to bone in which of the following? a. WBC count b. calcium level c. glucose level d. sodium/potassium level
B
the pt diagnosed with leukemia is being admitted for induction course of chemo. which lab values indicate a diagnosis of leukemia? a. an abnormally low hemoglobin (Hgb) and hematocrit (Hct) level b. a left shift in the WBC count differential c. a large number of WBCs that decrease after the admin of antibiotics d. RBC that are larger than normal
B
which patient is at greatest risk for developing iron deficiency anemia? a. a 6yo african american boy with no health problems b. a 15yo pregrant african american female c. a 52yo mexican american female with HTN d. a 72yo caucasian male with cardiac disease
B
which statement by the pt indicates that teaching about chemotherapy was effective? a. " i know everyone loses their with hair with chemo." b. " i know it is important that i monitor my temp." c. " i know i should eat whatever i want so that i dont loose weight while on chemo." d. i understand that i can skip a chemo treatment if i dont feel well."
B
the nurse is transcribing the HCP order for an iron supplement on the MAR. at which time should the nurse schedule the daily dose? a. 0900 b. 1000 c. 1200 d. 1630
B why? iron supplements should be administer 1hr before a meal or 2hrs after a meal. 1000 is approx 2 hours after breakfast
The nurse is caring for a patient with iron deficiency anemia. Which food should the nurse teach the patient to include in his or her daily diet to improve iron absorption? a. White meat b. Citrus fruits c. Green leafy vegetables d. Iron-fortified breakfast cereals
B why? Citrus fruits, such as oranges and grapefruits, contain vitamin C; therefore, these fruits help improve iron absorption.
Which is true regarding pernicious anemia? a. It is caused by lack of vitamin B12. b. It is an autoimmune disease. c. it is overcome by increasing dietary sources of animal proteins absorb vitamin B12. d. It stimulates the production of intrinsic factor in the stomach.
B why? Pernicious anemia is an autoimmune disease. It leads to vitamin B12 deficiency following inability to absorb vitamin B12 without intrinsic factor.
which statement is the scientific rationale for infusing a unit of blood in less than 4 hours a. the blood will coagulate if left out of the refrigerator for > 4 hours b.the blood has potential for bacterial growth if allowed to infuse longer c. the blood components begin to break down after 4 hours d. the blood will not be affected this is a laboratory procedure
B why? blood is a medium for bacterial growth and any bacteria contaminating the unit will begin to grown if left outside of a controlled refrigerator temp for > 4 hours placing the pt at risk for septicemia
which lab result would the nurse expect in the pt diagnosed with DIC a. a decreased prothrombin time b. a low fibrinogen level c. an increased platelet count d. an increased WBC
B why? the fibrinogen level helps predict bleeding in DIC, as it becomes lower the risk of bleeding increases
the pt diagnosed with Hodgkin's lymphoma is scheduled for a lymphangiogram. which information should the nurse teach a. the scan will identify any malignancy in the vascular system b. radiopaque dye will be injected between the toes c. the test will be done similar to a cardiac angiogram d. the test will be completed in about 5 minutes
B why? dye is injected in between the toes of both feet and scans are preformed in a few hours, at 24 hours and then possibly once a day for several days
the nurse understands that the cause of T1DM is caused by which of the following? *SELECT ALL THAT APPLY* a. gestational diabetes b. a hx of mumps or rubella c. family hx of autoimmune disorders d. autoimmune destruction of the beta cells of the pancreas e. obesity
B,D
Which assessment finding is correlated with vitamin B12 deficiency? *SELECT ALL THAT APPLY* a. Pain in the joints b. Impaired sense of balance c. Neural tube defects d. Numbness and tingling in the hands and feet e. Sensation of electric shock produced by neck flexion
B,D,E
Which is true regarding sickle cell disease (SCD)? *SELECT ALL THAT APPLY* a. The sickle cell trait (SCT) is present in one of the parents of the patient. b. The patient has some protection against malaria. c. The patient has red blood cells (RBCs) that are extremely malleable. d. The RBCs become elongated when exposed to decreased tension. e. The life span of RBCs in the patient is 15 to 20 days.
B,D,E
The nurse is caring for a patient with iron deficiency anemia. The patient has been asked to increase his daily dietary intake of iron. What foods should the nurse suggest? a. Meat, seafood, eggs, and dairy products b. Fortified cereals and grains, legumes, green leafy vegetables, bran, yeast extracts, and nuts c. Meat, dark green leafy vegetables, dried beans, and beets d. Fish, orange and purpose vegetable, iron fortified cereals
C
The nurse is caring for a patient with leukemia in the postremission maintenance phase of care. Which is the most appropriate should the nurse teach the patient about this treatment? a. "The treatment involves high doses of chemotherapy." b. "The treatment begins with radiation therapy." c. "The treatment involves chemotherapy at low doses or less frequently." d. "The treatment involves transfusion of red blood cells and/or platelets."
C
The nurse is caring for a patient with sickle cell anemia who is experiencing sequestration crisis. Which best describes this? a. The bone marrow has ceased the production of red blood cells (RBCs). b. The blood vessels are obstructed by hemolyzed cells. c. There is a massive collection of RBCs in the spleen. d. The RBCs undergo hemolysis at an increased rate.
C
Which collaborative treatment would the nurse anticipate for the client diagnosed with DIC? a. Administer oral anticoagulants. b. Prepare for plasmapheresis. c. Administer frozen plasma. d. Calculate the intake and output.
C
Which is a potential complication that occurs specifically to a male client diagnosed with sickle cell anemia during a sickle cell crisis? a. Chest syndrome. b. Compartment syndrome. c. Priapism. d. Hypertensive crisis.
C
Which s/s will the nurse expect to assess in the client diagnosed with a vaso-occlusive sickle cell crisis a. lordosis b.epistaxis c. hematuria d. petechia
C
the ED nurse is caring for a pt diagnosed with HHNS who has a BS of 680mg/dL. which question should the nurse ask? a. when is the last time you took your insulin? b. when did you have your last meal? c. have you had some type of infection lately? d. how long have you had diabetes?
C
the HCP orders 2 units of blood to be admin over 8 hours each for a pt diagnosed with HF. which interventions should the nurse implement? a. call the HCP to question the order because blood must infuse within 4 hours b. retrieve the blood from the lab and run each unit at 8 hour raye c. notify the lab to split each unit into half units and infuse each half for 4 hours d. infuse each unit for 4 hours the max rate for a unit of blood
C
the nurse is caring for the following pts. which pt should the nurse assess first? a. the pt whose PTT is 38 seconds b. the pt whose hemoglobin is 14g/dL and hematocrit is 45% c. the pt whose platelet count is 75,000 per cubic millimeter of blood d. the pt whose RBC count is 4.8x10^6 /mm3
C
the nurse is discussing ways to prevent diabetic ketoacidosis with the pt who has T1DM. which instruction is most important to discuss with the pt. a. refer the pt to the american diabetes association b. do not take any OTC medications c. take the Rx insulin even when unable to eat bc of illness d. explain the need to get the annula flu and pnemonia vaccines
C
the nurse understands that the pt receiving chemotherapy prior to definitive surgical excision is receiving which type of treatment? a. secondary treatment b. adjuvant therapy c. neoadjuvant therapy d. primary treatment
C
the pt diagnosed with anemia begins to complain of dyspnea when ambulating in the hall. which intervention should the nurse implement first? a. apply oxygen via nasal cannula b. get a wheelchair for the pt c. assess the pt lung fields d. assist the pt when ambulating in the hall
C
the pt diagnosed with leukemia has central nervous system involvement. which instruction should the nurse teach? a. sleep with the head of the bed elevated to prevent increased intracranial pressure b. take an analgesic medication for pain only when the pain becomes severe c. explain radiation therapy to the head may result in permanent hair loss d. discuss end of life decisions prior to cognitive deterioration
C
the pt diagnosed with sickle cell anemia is experiencing a vaso- occlusive sickle cell crisis secondary to an infection. which medical treatment should the nurse anticipate the HCP to order for the patient? a. admin meperidine (demerol) IV b. admit the pt into a private room and keep in reverse isolation c. infuse D5W 0.33% NS at 150ml/hr via pump d. insert a 22 french foley catheter with a urimeter
C
what is a probable initial assessment finding for a patient with a low hemoglobin count? a. increased and bounding peripheral pulses b.hypertension c. pallor and fatigue d. moist mucus membranes
C
what is the difference between the cells of a benign tumor and the cells of a malignant tumor? a. the cells of benign tumor are typically aplastic b. the cells of malignant tumors are apoptotic c. the cells of malignant tumors lack contact inhibition d. the cells of benign tumor are characterized by uncontrolled cell growth
C
when completing a history and physical exam on a patient with a hematological disorder which action is appropriate? a. deeply palpate the spleen to determine the extent of splenomegaly b. perform a resp . after moderate exercise for accurate measurement of depth and rhythm c. inspect oral mucosa membranes and the tongue for lesions, swelling and pain d. suggest a bone marrow biopsy if the pt reports decreased energy levels
C
which activity should be avoided in a patient with sickle cell anemina? a. driving to the beach 3 hours away b. going to a concert c. running a 5k race d. carpentry work
C
which factor places the pt at a higher risk for developing secondary polycythemia? a. T2DM b. hx of alcohol abuse c. smoking d. HTN
C
which medication is contraindicated for a pt diagnosed with leukemia? a. bactrim, a sulfa antibiotic b. morphine, a narcotic analgesic c. epogen, a biologic response modifier d. gleevec, a genetic blocking agent
C
which pt is at highest risk for developing a lymphoma a. the pt diagnosed with chronic lung disease who is taking a steroid b. the pt diagnosed with breast cancer who has extensive lymph involvement c. the pt who is received a kidney transplant several years ago d. the pt who has had ureteral stent placements for a neurogenic bladder
C
the nurse is working in a blood bank facility procuring units of blood from donors. which pt would not be a candiate to donate blood? a. the pt who had wisdom teeth removed a week ago b. the nursing student who received measles vaccine 2 months ago c. the mother w/ a 6 week newborn d. the pt who developed an allergy to ASA in childhood
C why? a pt can not donate blood for 6 months after pregnancy bc of the nutritional demands of the mother
The nurse monitors fluid overload in a patient with cancer-associated syndrome of inappropriate antidiuretic hormone (SIADH). Which condition is the nurse aiming to prevent in this intervention? a. Dyspnea b. Heart block c. Leukostasis d. Hypertension
D
Which laboratory test does the nurse refer to so as to distinguish folic acid deficiency in a patient? a. Serum ferritin levels b. Random serum folate level c. Red blood cell (RBC) folate level d. Serum homocysteine levels
D
a pt diagnosed with leukemia has leukocytosis. which lab value would the nurse expect to assess? a. an elevated hemoglobin b. a decreased sedimentation count c. a decreased RBC distribution width d. an elevated WBC count
D
a pt with lymphoma is beginning the induction chemotherapy regimen. which information is most essential for the nurse to include in the treatment plan? a. advance directives b. bleeding precautions c. importance of frequent rest periods d. neutropenic precautions
D
the male client with sickle cell anemia comes to the ER with a temp of 101.4F and tells the nurse that he is having a sickle cell crisis. which diagnostic test should the nurse anticipate the ER doctor ordering for the pt? a. spinal tap b. hemoglobin electrophoresis c. sickle turbidity test (sickledex) d. blood cultures
D
the nurse is admitting a 24yo african american pt with diagnosis of rule out anemia. the pt has hx of gastric bypass surgery for obesity 4 years ago. V/S = HR 110, RR 27, BP 104/66, pale mucous membranes and dypnea with exertion. which type of anemia does the nurse suspect the pt has developed? a. sickle cell anemia b. folic acid deficiency anemia c. iron deficiency anemia d. vitamin b12 deficiency anemia
D
the nurse is discussing the importance of exercise with a patient diagnosed with T2DM who diabetes is well controlled with diet and exercise. which information should the nurse include in the teaching about diabetes? a. eat a simple carbohydrate snack before exercising b. carry PB crackers when exercising c. encourage the pt to walk 20 minutes 3x a week d. perform a warm up and cool down exercises
D
the nurse should immediately intervene if a pt has which blood glucose level? a. 200 mg/dL b. 150 mg/dL c. 80 mg/dL d. 40 mg/dL
D
the nurse writes the problem of grieving for a pt diagnosed with non Hodgkin's lymphoma. which collaborative intervention should be included in the plan of care? a. encourage the pt to talk about feelings of loss b. arrange for the family to plan a memorable outing c. refer the pt to the American cancer society dialogue group d. have the chaplain visit with the pt
D
what is the most specific method of diagnosing a malignancy a. serum lab tests b. MRI c. CT scan d. biopsy
D
what is the role of erythropoietin of red blood cells? a. to make Hgb capable of transporting oxygen b. to pick up carbon dioxide from the tissues and deliver it to the lungs c. to decrease RBC production d. to stimulate RBC production
D
when a pt with vit b12 deficiency is counseled about diet what statement made by the patient indicates an understanding of the cause of anemia? a. "i know i need to eat more fruits and vegetables" b. " i have cut out all fried foods in my diet" c. " i have been eating more organic foods" d. " i have been having beef or fish at least once a day"
D
which pt would be most at risk for developing DIC a. a 35yo pregnant pt with placenta previa b. a 42yo pt with a pulmonary embolus c. a 60yo pt receiving hemodialysis d. a 78 yo pt diagnosed with septicemia
D why? sepsis is the most common cause of DIC
