Nokea
B cells and T cells fit under which classification?
- A. Erythrocytes
- B. Basophils
- C. Lymphocytes
- D. Monocytes
Correct Answer: C
Rationale: B cells and T cells, the major players in the antigen/antibody conflict, are both lymphocytes.
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In caring for a patient with multiple myeloma, which should the nurse prioritize from the plan of care?
- A. Limit fluid intake to less than 1000 mL/day
- B. Closely supervise and assist when ambulating
- C. Strain all urine for kidney crystals
- D. Limit the use of an analgesic
Correct Answer: B
Rationale: Because of the constant threat of pathologic fractures, ambulation should be carefully supervised and assisted. Fluids are not restricted. Uric acid is increased and may crystalize in the kidney, but straining is not necessary. Analgesia is necessary for relief of bone pain.
Which would the nurse explain as a type of leukemia that affects noticeably more children and teens than adults?
- A. Chronic lymphocytic leukemia (CLL)
- B. Acute myeloid leukemia (AML)
- C. Acute lymphocytic leukemia (ALL)
- D. Chronic myeloid leukemia (CML)
Correct Answer: C
Rationale: The majority of cases of ALL are children under the age of 5 years.
Which mandatory practice is the most effective and significant nursing practice to prevent the spread of infection for a patient with agranulocytosis?
- A. Strict and frequent hand washing by all people having contact with the patient
- B. Placement of patients in private rooms with high-efficiency particulate air (HEPA) filtration
- C. Administration of combinations of prophylactic antibiotics
- D. Creation of a 'sterile' environment for the patient with the use of laminar airflow rooms
Correct Answer: A
Rationale: Meticulous hand washing by medical and nursing personnel and strict asepsis are mandatory.
The person with aplastic anemia is said to have because all three major blood elements (RBCs, WBCs, and platelets) are diminished or absent.
Correct Answer: pancytopenia
Rationale: Persons with aplastic anemia are deficient in all three of the major blood elements, a condition known as pancytopenia.
Which would a nurse reinforce in a teaching plan for a home health patient with a hemoglobin of 8.4 mg?
- A. Exercising for periods of 30 minutes daily
- B. Limiting fluid intake
- C. Alternating activity with rest periods
- D. Avoiding the use of oxygen
Correct Answer: C
Rationale: Persons with severe anemia need to conserve their energy. Observing a rest period after a period of activity will reduce hypoxia. Oxygen may be used as necessary.