Nokea
The female client recently diagnosed with Hodgkin's lymphoma asks the nurse about her prognosis. Which is the nurse’s best response?
- A. Survival for Hodgkin’s disease is relatively good with standard therapy.
- B. Survival depends on becoming involved in an investigational therapy program.
- C. Survival is poor, with more than 50% of clients dying within six (6) months.
- D. Survival is fine for primary Hodgkin’s, but secondary cancers occur within a year.
Correct Answer: A
Rationale: Hodgkin’s has a good prognosis with standard therapy (A) (5-year survival >85%). Investigational therapy (B) isn’t required, survival isn’t poor (C), and secondary cancers (D) are long-term risks.
You may also like to solve these questions
Which interrelated psychological concept is priority for the nurse caring for a client diagnosed with leukemia?
- A. Comfort.
- B. Stress.
- C. Grieving.
- D. Coping.
Correct Answer: C
Rationale: Leukemia’s life-threatening nature makes grieving (C) a priority, addressing loss of health. Comfort (A), stress (B), and coping (D) are secondary.
Which collaborative treatment would the nurse anticipate for the client diagnosed with DIC?
- A. Administer oral anticoagulants.
- B. Prepare for plasmapheresis.
- C. Administer frozen plasma.
- D. Calculate the intake and output.
Correct Answer: C
Rationale: Frozen plasma (C) replaces clotting factors in DIC. Oral anticoagulants (A) worsen bleeding, plasmapheresis (B) is rare, and I&O (D) is routine.
The nurse is caring for clients on a medical floor. After the shift report, which client should be assessed first?
- A. The client who is two-thirds of the way through a blood transfusion and has no complaints of dyspnea or hives.
- B. The client diagnosed with leukemia who has a hematocrit of 18% and petechiae covering the body.
- C. The client with peptic ulcer disease who called over the intercom to say that he is vomiting blood.
- D. The client diagnosed with Crohn’s disease who is complaining of perineal discomfort.
Correct Answer: C
Rationale: Vomiting blood (C) indicates active GI bleeding, a life-threatening emergency. Low Hct/petechiae (B) is urgent but stable, transfusion (A) is uneventful, and perineal discomfort (D) is least urgent.
A child who has leukemia is to have a bone marrow biopsy performed. How will the child be positioned for this procedure?
- A. On his side with the top knee flexed
- B. Prone
- C. Modified Trendelenburg position
- D. On his back with his head elevated 30 degrees
Correct Answer: B
Rationale: The prone position is used for a bone marrow biopsy from the iliac crest to access the site safely.
The nurse is caring for the following clients. Which client should the nurse assess first?
- A. The client whose partial thromboplastin time (PTT) is 38 seconds.
- B. The client whose hemoglobin is 14 g/dL and hematocrit is 45%.
- C. The client whose platelet count is 75,000 per cubic millimeter of blood.
- D. The client whose red blood cell count is 4.8 x 106/mm3.
Correct Answer: C
Rationale: Platelets 75,000 (C) indicate thrombocytopenia, risking bleeding, a priority. PTT 38 (A) is therapeutic, Hb/Hct (B) are normal, and RBC 4.8 (D) is normal.