Nokea
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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The nurse is aware that the most common assessment finding in a child with ulcerative colitis is:
- A. Intense abdominal cramps
- B. Profuse diarrhea
- C. Anal fissures
- D. Abdominal distention
Correct Answer: B
Rationale: Profuse diarrhea is the most common assessment finding in a child with ulcerative colitis. Ulcerative colitis is a type of inflammatory bowel disease that primarily affects the colon and rectum. It causes inflammation and ulcers in the lining of the colon, leading to symptoms such as frequent and urgent bowel movements, abdominal pain, and bloody diarrhea. The diarrhea in ulcerative colitis is typically watery and can be very severe, often leading to dehydration and electrolyte imbalances. Intense abdominal cramps, anal fissures, and abdominal distention can also be present in ulcerative colitis, but profuse diarrhea is the hallmark symptom that is commonly seen in affected children.
A client is hospitalized with oat cell carcinoma of the lung. To manage severe pain, the physician prescribes a continuous I.V. infusion of morphine. Which formula should the nurse use to check that the morphine dose is appropriate for the client?
- A. 1 mg/kg of body weight
- B. 5 mg/70kg of body weight
- C. 5 mg/kg of body weight
- D. 10mg/70kg of body weight
Correct Answer: C
Rationale: When calculating the appropriate dose of morphine for a client, the nurse should consider the client's body weight. The most commonly used formula for calculating the appropriate dose of morphine is 0.1 to 0.2 mg/kg of body weight for hourly dosing or 2.5 to 10 mg/kg/day for continuous infusions.
A 58-year-old man is diagnosed with cancer of the larynx. Which of the ff. are early symptoms of this cancer?
- A. Anemia and fatigue
- B. A noticeable lump in the neck
- C. Crackles and stridor
- D. Dysphagia or hoarseness
Correct Answer: D
Rationale: Early symptoms of cancer of the larynx typically include persistent hoarseness or a change in the voice quality. This may be due to the tumor affecting the vocal cords. Dysphagia, or difficulty swallowing, can also be an early sign. As the tumor grows, it may cause obstruction or compression in the throat, leading to difficulties in swallowing. These symptoms should prompt further evaluation by a healthcare provider for proper diagnosis and treatment planning. Anemia and fatigue (Choice A) are more general symptoms that can occur in cancer patients but are not typically specific to laryngeal cancer. The presence of a noticeable lump in the neck (Choice B) may indicate swelling of lymph nodes due to cancer spread but is not an early symptom commonly associated with laryngeal cancer. Crackles and stridor (Choice C) are respiratory sounds associated with conditions affecting the airways and are less likely to be early symptoms
Which is a common side effect of short-term corticosteroid therapy?
- A. Fever
- B. Hypertension
- C. Weight loss
- D. Increased appetite
Correct Answer: D
Rationale: Increased appetite is a common side effect of short-term corticosteroid therapy. Corticosteroids can affect the areas of the brain that control appetite, leading to an increase in hunger and potentially weight gain. While weight loss can occur with long-term corticosteroid use, short-term therapy is more likely to cause increased appetite as a side effect. Fever and hypertension are less commonly associated with short-term corticosteroid therapy.
When you report on duty, your team leader tells you that Mr. MartineHi accidentally received 1000 ml of fluids in 2 hours and that you are to be alert for signs of circulatory overload. Which of the following signs would not be likely to occur?
- A. moist gurgling respirations
- B. Distended neck veins
- C. Weak, slow pulse
- D. Dyspnea and coughing
Correct Answer: C
Rationale: Circulatory overload is a condition where there is an excessive volume of fluid circulating in the bloodstream. Signs of circulatory overload include moist gurgling respirations, distended neck veins, dyspnea, and coughing. A weak, slow pulse would not be a typical sign of circulatory overload; in fact, it could indicate other conditions such as bradycardia or hypovolemia. Therefore, a weak, slow pulse would not likely occur as a sign of circulatory overload in this scenario.