Granulocytic sarcoma masses are commonly seen in which type of the following malignancies?
- A. neuroblastoma
- B. rhabdomyosarcoma
- C. soft tissue sarcoma
- D. AML
Correct Answer: D
Rationale: Granulocytic sarcoma is most commonly associated with acute myeloid leukemia (AML).
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Granulocytic sarcoma masses are commonly seen in which type of the following malignancies?
- A. neuroblastoma
- B. rhabdomyosarcoma
- C. soft tissue sarcoma
- D. AML
Correct Answer: D
Rationale: Granulocytic sarcoma is most commonly associated with acute myeloid leukemia (AML).
. Which of the following laboratory test results would the nurse expect to find in a client diagnosed with Hashimoto's thyroiditis?
- A. Thyroxine (T4), 22 ug/dl; triiodothyronine (T3), 320ng/dl; thyroid-stimulating hormone
- B. (TSH) undetectable
- C. T4, 22 ug/dl; T3, 200 ng/dl; TSH 0.1 uIU/ml
- D. T4, 2 ug/dl; t3, 35 ng/dl; TSH 45 uIU/ml
Correct Answer: E
Rationale: Hashimoto's thyroiditis is an autoimmune disorder that results in an underactive thyroid gland (hypothyroidism). The key lab findings typically seen in Hashimoto's thyroiditis include elevated thyroid antibodies (such as anti-thyroid peroxidase and anti-thyroglobulin antibodies), decreased levels of thyroxine (T4) and triiodothyronine (T3), and an elevated thyroid-stimulating hormone (TSH) level.
The child who walks backward, scribbles, and uses spoon and fork has achieved the developmental age of
- A. 9 mo
- B. 12 mo
- C. 15 mo
- D. 18 mo
Correct Answer: D
Rationale: These milestones are typically achieved around 18 months of age.
Idiopathic thrombocytopenic purpura (ITP) commonly results in what finding?
- A. Blood clots
- B. Pallor
- C. Dry membranes
- D. Bruising
Correct Answer: D
Rationale: Idiopathic thrombocytopenic purpura (ITP) is a condition characterized by a low platelet count, leading to an increased risk of bleeding and easy bruising. Platelets are responsible for blood clotting and when their count is low, it can result in purpura (bruising) due to small blood vessels leaking blood into the skin. For this reason, the most common finding in ITP is bruising rather than blood clots, pallor, or dry membranes.
The nurse teaches a diabetic client that diet plays a crucial role in managing diabetes mellitus. When evaluating dietary intake, the nurse knows the client is eating the right foods if total daily caloric intake consists of:
- A. 30% to 35% carbohydrate, 40% fat, and 25% to 30% protein
- B. 40% to 45% carbohydrate, 40% fat, and 15% to 20% protein
- C. 50% to 55% carbohydrate, 35% fat, and 10% to 15% protein
- D. 55% to 60% carbohydrate, 30% fat and 10% to 15% protein
Correct Answer: A
Rationale: In managing diabetes mellitus, one of the key principles is proper macronutrient distribution in the diet. The recommended dietary intake for a diabetic client typically includes a moderate amount of carbohydrates (30% to 35% of total calories) in order to help control blood sugar levels. Including higher amounts of fat (around 40%) can be beneficial in managing this condition as well. Adequate protein intake (25% to 30%) is also important for overall health and satiety. This balanced macronutrient distribution helps in maintaining stable blood sugar levels throughout the day, supporting optimal diabetes management.