Gracie was diagnosed with acute lymphoblastic leukemia at the age of five. They first started to think that something was wrong when at Gracie’s birthday party she got a fever of 102‚ they took her to the doctor and they told her that she had mono. They transferred Gracie to St. Jude so she could be
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Chapter 30: Nursing Assessment: Hematologic System Test Bank MULTIPLE CHOICE 1. The nurse is caring for a patient who is being discharged after an emergency splenectomy following an automobile accident. Which instructions should the nurse include in the discharge teaching? a. Watch for excess bruising. b. Check for swollen lymph nodes. c. Take iron supplements to prevent anemia. d. Wash hands and avoid persons who are ill. ANS: D Splenectomy increases the risk for infection‚ especially with gram-positive
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Chapter 48: Nursing Assessment: Endocrine System Test Bank MULTIPLE CHOICE 1. A 22-year-old patient is being seen in the clinic with increased secretion of the anterior pituitary hormones. The nurse would expect the laboratory results to show a. increased urinary cortisol. b. decreased serum thyroxine. c. elevated serum aldosterone levels. d. low urinary catecholamines excretion. ANS: A Increased secretion of adrenocorticotropic hormone (ACTH) by the anterior pituitary gland will lead to an increase
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Chapter 64: Nursing Management: Musculoskeletal Problems Test Bank MULTIPLE CHOICE 1. A patient with acute osteomyelitis of the left femur is hospitalized for regional antibiotic irrigation. Which intervention will be included in the initial plan of care? a. Immobilization of the left leg b. Positioning the left leg in flexion c. Assisted weight-bearing ambulation d. Quadriceps-setting exercise repetitions ANS: A Immobilization of the affected leg helps decrease pain and reduce the risk for pathologic
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Chapter 40: Nursing Management: Nutritional Problems Test Bank MULTIPLE CHOICE 1. Which finding for a 19-year-old female who is a vegan may indicate the need for cobalamin supplementation? a. Paresthesias b. Ecchymoses c. Dry‚ scaly skin d. Gingival swelling ANS: A Cobalamin (vitamin B12) cannot be obtained from foods of plant origin‚ so the patient will be most at risk for signs of cobalamin deficiency‚ such as paresthesias‚ peripheral neuropathy‚ and anemia. The other symptoms listed are associated
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Chapter 35: Nursing Management: Heart Failure Test Bank MULTIPLE CHOICE 1. While assessing a 68-year-old with ascites‚ the nurse also notes jugular venous distention (JVD) with the head of the patient’s bed elevated 45 degrees. The nurse knows this finding indicates a. decreased fluid volume. b. jugular vein atherosclerosis. c. increased right atrial pressure. d. incompetent jugular vein valves. ANS: C The jugular veins empty into the superior vena cava and then into the right atrium‚ so JVD with
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Chapter 20: Nursing Management: Postoperative Care Test Bank MULTIPLE CHOICE 1. On admission of a patient to the postanesthesia care unit (PACU)‚ the blood pressure (BP) is 122/72. Thirty minutes after admission‚ the BP falls to 114/62‚ with a pulse of 74 and warm‚ dry skin. Which action by the nurse is most appropriate? a. Increase the IV fluid rate. b. Continue to take vital signs every 15 minutes. c. Administer oxygen therapy at 100% per mask. d. Notify the anesthesia care provider (ACP) immediately
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Chapter 52: Nursing Management: Breast Disorders Test Bank MULTIPLE CHOICE 1. The nurse teaching a young women’s community service group about breast self-examination (BSE) will include that a. BSE will reduce the risk of dying from breast cancer. b. BSE should be done daily while taking a bath or shower. c. annual mammograms should be scheduled in addition to BSE. d. performing BSE after the menstrual period is more comfortable. ANS: D Performing BSE at the end of the menstrual period will reduce
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Chapter 66: Nursing Management: Critical Care Test Bank MULTIPLE CHOICE 1. A 68-year-old patient has been in the intensive care unit for 4 days and has a nursing diagnosis of disturbed sensory perception related to sleep deprivation. Which action should the nurse include in the plan of care? a. Administer prescribed sedatives or opioids at bedtime to promote sleep. b. Cluster nursing activities so that the patient has uninterrupted rest periods. c. Silence the alarms on the cardiac monitors to allow
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CHAPTER 1 Introduction Leukemia has led to a significant change in the world of Science and Technology. It became the basis of research for discovering several possible cures to counter this killer disease. This is the beginning of a new medicinal era. Leukemia is a kind of cancer of the blood or bone marrow which is caused by an immature increase of white blood cells. These are called blasts. For several years‚ there are approximately 256‚ 000 children and adults around the
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