Nokea
A client who has been diagnosed as having pernicious anemia asks how long she will have to take shots. What is the best answer for the nurse to give?
- A. Until your blood count returns to normal.'
- B. Until you are feeling better.'
- C. For the rest of your life.'
- D. That varies with each person. Ask your doctor.'
Correct Answer: C
Rationale: Due to the absence of intrinsic factor, pernicious anemia requires lifelong vitamin B12 injections.
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The female client recently diagnosed with Hodgkin's lymphoma asks the nurse about her prognosis. Which is the nurse’s 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 clients dying within six (6) months.
- D. Survival is fine for primary Hodgkin’s, but secondary cancers occur within a year.
Correct Answer: A
Rationale: Hodgkin’s has a good prognosis with standard therapy (A) (5-year survival >85%). Investigational therapy (B) isn’t required, survival isn’t poor (C), and secondary cancers (D) are long-term risks.
A 1-year-old is admitted to the hospital with sickle cell anemia in crisis. Upon admission, which therapy will assume priority?
- A. Fluid administration
- B. Exchange transfusion
- C. Anticoagulant
- D. IM administration of iron and folic acid
Correct Answer: A
Rationale: Fluid administration is the priority in sickle cell crisis to prevent dehydration and reduce blood viscosity, which can worsen sickling.
The nurse is discussing the prevention of bladder cancer with the client. Which factors that increase the client’s risk for bladder cancer should the nurse emphasize?
- A. Consuming caffeine beverages
- B. Smoking tobacco products
- C. Consuming multivitamins daily
- D. Prolonged exposure to paint smells
- E. Prolonged exposure to rubber smells
Correct Answer: B, D, E, A
Rationale: Consumption of caffeine is not associated with an increased risk for bladder cancer. B. Smoking is the number one cause of bladder cancer in the world. C. Studies show a protective effect with an increased intake of vitamins A, B6, and E. D. Exposure to aromatic amines in the textile and paint industries is clearly associated with bladder cancer. E. Exposure to aromatic amines in the rubber industry is clearly associated with bladder cancer.
A young man who has infectious mononucleosis asks what the treatment is for his condition. What is the best response for the nurse to make?
- A. You will receive large doses of antibiotics for the next 10 days.'
- B. Rest and good nutrition are the best things you can do.'
- C. You will be given an antiviral agent that will help to control the symptoms.'
- D. You will probably be given steroid medications for several months.'
Correct Answer: B
Rationale: Rest and good nutrition support recovery from infectious mononucleosis, a viral illness with no specific antiviral or steroid treatment.
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.
Correct Answer: C
Rationale: Frozen plasma (C) replaces clotting factors in DIC. Oral anticoagulants (A) worsen bleeding, plasmapheresis (B) is rare, and I&O (D) is routine.