Nokea
A patient with leukemia is considering whether to have hematopoietic stem cell transplantation (HSCT). The nurse will include which information in the patient's teaching plan?
- A. Donor bone marrow is transplanted through a sternal or hip incision.
- B. Hospitalization is required for several weeks after the stem cell transplant.
- C. The transplant procedure takes place in a sterile operating room to minimize the risk for infection.
- D. Transplant of the donated cells can be very painful because of the nerves in the tissue lining the bone.
Correct Answer: B
Rationale: HSCT for leukemia means 2-4 weeks in hospital engraftment's slow, and infection risk's sky-high in isolation. No incision it's IV. No OR it's bedside. Pain's minimal no bone nerves hit. Nurses in oncology stress this long haul, sterile stay, not surgical drama, prepping patients for the real grind.
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A 56 yo man presents with a penetrating wound to his leg from a wooden stake. The wound is contaminated with debris. His last tetanus booster was 12 years ago, but records reliably indicate he's had 3 doses of tetanus vaccine. The most appropriate anti-tetanus regimen for him is:
- A. ADT (Adult Diphtheria Tetanus) plus tetanus Ig (immunoglobulin)
- B. Tetanus Ig only
- C. ADT only
- D. Child diphtheria tetanus, as he is immunologically 'immature'
Correct Answer: C
Rationale: Dirty stake, 12 years off ADT boosts his three-dose base, no Ig for primed; kid shots, nothing's off. Nurses jab this chronic recall.
Research into people's eating behaviour has produced several findings. Question: Which finding is NOT correct?
- A. When eating in a group, you eat more than when eating alone
- B. Portion size does not influence how much a person eats
- C. Low prices of high-calorie food contribute to overeating
- D. If you eat with people who eat a lot, you will eat more yourself as well
Correct Answer: B
Rationale: Eating truths groups, big portions, cheap junk, piggybacking all pile on, but portion size sways intake, not static. Nurses debunk this, a chronic portion myth.
Cardiac catheterisation (angiography) is performed to assess blood flow through the coronary arteries through use of a contrast agent and radiographic imaging. The nursing responsibilities in caring for the patient post angiography do not include:
- A. Applying pressure and observing the insertion site for bleeding or haematoma formation
- B. Informing the patient of the findings of the angiogram to allay fear and provide reassurance
- C. Monitor for arrhythmias by both cardiac monitoring and assessing apical or peripheral pulses
- D. Encourage fluids to increase urinary output and flush out the dye
Correct Answer: B
Rationale: Post-angio, nurses press sites, watch rhythms, flush dye hands-on musts. Telling results? Docs' turf nurses soothe, don't spill, a chronic care line.
After change-of-shift report on the oncology unit, which patient should the nurse assess first?
- A. Patient who has a platelet count of 82,000/μL after chemotherapy
- B. Patient who has xerostomia after receiving head and neck radiation
- C. Patient who is neutropenic and has a temperature of 100.5°F (38.1°C)
- D. Patient who is worried about getting the prescribed long-acting opioid on time
Correct Answer: C
Rationale: Neutropenia plus fever 100.5°F screams infection risk, a sepsis threat needing instant assessment per ABCs in this chemo-ravaged unit. Platelets at 82,000 bleed less urgently; xerostomia's dry mouth annoys, not kills; opioid timing's comfort, not crisis. Nurses hit fever first, anticipating cultures or antibiotics, a life-saving triage in oncology's fragile lineup.
Which of the following nursing interventions would be appropriate for a client with sickle cell disease?
- A. Prepare the client for surgery
- B. Encourage fluid intake
- C. Provide a warm environment
- D. Keep the client strictly NPO
Correct Answer: B
Rationale: Sickle cell's sticky cells crave hydration fluids thin blood, easing vaso-occlusion, a top intervention to cut crisis. Surgery's rare, warmth helps pain, NPO starves. Nurses push intake, preventing sickling, a hydration win in this hemoglobin war.