Study
What is the rationale for the classification of leukemia?
Which bone marrow stem cell line is dysfunctional
For a patient with Hodgkin disease, who is at a risk for an ineffective airway clearance and an impaired gas exchange, the nurse places the patient in a high Fowler's position to do which of the following?
Increase the lung expansion.
Which patient assessed by the nurse is most likely to develop myelodysplastic syndrome (MDS)?
A 72-year-old patient with a history of cancer
A client with leukemia is being discharged from the hospital to hospice care. Which statement by the client indicates the client has not achieved the goal for the nursing diagnosis Spiritual Distress?
"I do not understand why this happened to me."
Following bone marrow aspiration of a 19-year-old client, analysis reveals more than 20% immature blast cells. Platelet counts are 9000/mm³. What nursing interventions should the nurse employ for the care of this client? Select all answers that apply.
Assess for mental state changes. Administer prescribed docusate (Colace) daily.
A patient presents with peripheral neuropathy and hypothesia of the feet. What is the best nursing intervention?
Assess for signs of injury.
A patient with multiple myeloma is complaining about pain. What instructions will the nurse give the patient to help to reduce pain during activity?
Do not lift more than 10 pounds.
A client is suspected of having leukemia and is having a series of laboratory and diagnostic studies performed. What does the nurse recognize as the hallmark signs of leukemia? Select all that apply.
Frequent infections Fatigue from anemia Easy bruising
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?
Graft-versus-host disease
When assessing a female patient with a disorder of the hematopoietic or the lymphatic system, which of the following assessments is most essential?
Health history, such as bleeding, fatigue, or fainting
A nurse is caring for a client with multiple myeloma. Which laboratory value is the nurse most likely to see?
Hypercalcemia
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
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
What assessment findings best indicate that the patient has recovered from induction therapy?
Neutrophil and platelet counts within normal limits
The nurse is assessing a patent with polycythemia vera. What skin assessment data would the nurse determine is a normal finding for this patient?
Ruddy complexion
The term that is used to refer to a primitive cell, capable of self-replication and differentiation, is which of the following?
Stem cell
The nurse is assessing several patients. Which patient does the nurse determine is most likely to have Hodgkin lymphoma?
The patient with enlarged lymph nodes in the neck.
A home care nurse is caring for a client with multiple myeloma. Which of the following nursing interventions are appropriate for this client? Select all that apply.
The nurse delays position changes and bathing if the client is experiencing pain. The nurse instructs the client to avoid activities that may cause injury.
Which of the following statements best describes the function of stem cells in the bone marrow?
They produce all blood cells.
