Nokea
Poor prognostic factors in Hodgkin lymphoma include all the following EXCEPT
- A. age of more than 15 year at the time of diagnosis
- B. stage IV disease
- C. manifested by positron emission tomography (PET) scan positivity
- D. poor response to therapy
Correct Answer: A
Rationale: Older age is generally considered a poor prognostic factor, but not necessarily worse than other listed options.
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A client takes prednisone (Deltasone), as prescribed, for rheumatoid arthritis. During follow-up visits, the nurse should assess the client for common adverse reactions to this drug, such as:
- A. Tetany and tremors
- B. Fluid retention and weight gain
- C. Anorexia and weight loss
- D. None of the above
Correct Answer: B
Rationale: Prednisone, or Deltasone, is a corticosteroid medication commonly prescribed for conditions like rheumatoid arthritis. One of the common adverse reactions to corticosteroids like prednisone is fluid retention and weight gain. This can occur due to the drug's effect on sodium and water retention in the body, leading to edema and increased body weight. Monitoring for signs of fluid retention, such as swelling in the extremities, and weight changes is important during follow-up visits to ensure the client's well-being and to address any concerns promptly. Tetany and tremors (choice A) are not typically associated with prednisone use, and anorexia and weight loss (choice C) are not common adverse reactions but rather less common side effects of prednisone.
Deaths have occurred when potassium chloride has been used incorrectly to flush a lock or central venous catheter. Which of the ff precautions should a nurse take to minimize this risk?
- A. Use a dilute form of potassium chloride before flushing locks
- B. Warm the KCL before flushing locks
- C. Read labels carefully on vials containing flush solutions for locks
- D. Replace the existing locks with new ones to avoid flushing
Correct Answer: C
Rationale: The precaution a nurse should take to minimize the risk of deaths occurring when potassium chloride is used incorrectly to flush a lock or central venous catheter is to read labels carefully on vials containing flush solutions for locks. This is essential to ensure that the correct solution is being used and to prevent accidental administration of potassium chloride, which can be fatal if used inappropriately. By carefully checking the labels, the nurse can confirm that they are using the correct flush solution and avoid any harmful errors. This simple precaution can help in ensuring patient safety and preventing adverse outcomes.
A patient understands the common causes of urinary tract infection if he or she states the following, EXCEPT:
- A. "UTI can be caused by holding the urge to urinate."
- B. "Insertion of instruments and catheter to the urinary tract can introduce bacteria that can cause infection."
- C. "I usually drink lots of water at night and it might have caused my UTI."
- D. "UTI can be caused by unhygienic cleaning after defecation."
Correct Answer: C
Rationale: Drinking lots of water at night is actually a good practice for promoting urinary health and preventing urinary tract infections (UTIs). Adequate hydration helps to flush out bacteria from the urinary tract, reducing the risk of infections. Therefore, the statement that drinking lots of water at night might have caused a UTI is incorrect. The other choices describe common causes of UTIs such as holding the urge to urinate, introducing bacteria through instruments or catheters, and poor hygiene practices after defecation.
The nurse is preparing an in-service education to staff about atraumatic care for pediatric patients. Which intervention should the nurse include?
- A. Prepare the child for separation from parents during hospitalization by reviewing a video.
- B. Prepare the child before any unfamiliar treatment or procedure by demonstrating on a stuffed animal.
- C. Help the child accept the loss of control associated with hospitalization.
- D. Help the child accept pain that is connected with a treatment or procedure.
Correct Answer: B
Rationale: Atraumatic care for pediatric patients aims to minimize emotional and psychological distress during hospitalization or medical procedures. Option B, preparing the child before any unfamiliar treatment or procedure by demonstrating it on a stuffed animal, is an appropriate intervention. This technique allows the child to understand what will happen, reduces fear of the unknown, and promotes a sense of control. By using a stuffed animal as a teaching tool, the nurse can provide clear information to the child in a non-threatening way, helping to alleviate anxiety and stress. This intervention encourages trust between the child and healthcare provider and promotes a positive healthcare experience for the pediatric patient.
The MOST likely cause of a 4-year-old boy refusing to go to bed and remaining active is
- A. thyrotoxicosis
- B. ADHD
- C. behavioral insomnia of childhood
- D. sleep-onset association disorder
Correct Answer: C
Rationale: Behavioral insomnia involves resistance to bedtime routines.