Nokea
The home health nurse recommends to the mother of a 12-year-old child with leukemia that the child should have which vaccine?
- A. the series for prevention of hepatitis B.
- B. an annual influenza vaccine.
- C. an annual pneumococcal vaccine.
- D. vitamin B12 shots.
Correct Answer: B
Rationale: Children with leukemia should have an annual influenza vaccine and a pneumococcal vaccine every 5 years.
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The nurse expects the plan of care for a patient with leukemia to focus on which aspect of care?
- A. Prevention of abnormal clotting
- B. Promotion of mobility activities
- C. Frequent transfusions of plasma
- D. Prevention of infectious diseases
Correct Answer: D
Rationale: The white blood cells are abnormal and not functioning well with leukemia, therefore, prevention of infection is a priority of care. A lack of platelets is seen with leukemia, causing excessive bleeding, not abnormal clotting. Promoting mobility is not a priority of care with leukemia. Plasma transfusions are not associated with care of a patient with leukemia.
The nurse is reading the results of a white blood cell count differential. Which abnormal reading indicates a severe allergic reaction?
- A. Increased basophil count
- B. Increased lymphocyte count
- C. Increased monocyte count
- D. Increased neutrophil count
Correct Answer: A
Rationale: An increased basophil count may indicate a severe allergic reaction.
Which of the following are 'B' symptoms of a patient with Hodgkin disease?
- A. Hematuria
- B. Night sweats
- C. Severe diarrhea
- D. Weight gain from edema
- E. Fever
- F. Persistent dry cough
Correct Answer: B,E
Rationale: The 'B' symptoms of Hodgkin disease are night sweats, fever, and weight loss. These symptoms are associated with a poor prognosis.
The hematopoietic stem cell transplant (Bone marrow transplant) is used for a patient with which disease?
- A. Iron deficiency anemia
- B. Aplastic anemia
- C. Leukemia
- D. Pernicious anemia
- E. Myelodysplastic syndrome
Correct Answer: B,C,E
Rationale: Bone marrow transplant may be used for aplastic anemia, leukemia and myelodysplastic syndrome. It is not used for iron deficiency anemia or pernicious anemia.
The nurse assessing a differential sees an increase in immature neutrophils (bands) and is aware that this indicates which concern?
- A. a significant hemorrhage.
- B. aplastic anemia.
- C. an infection or stress.
- D. beginning recovery from an infection.
Correct Answer: C
Rationale: An increase in immature neutrophils (bands) is sometimes referred to as 'a shift to the left', and it indicates an infection or stress.