Which does the elevation in the eosinophil count to 10% indicate?
- A. Anemia
- B. Allergy
- C. Infection
- D. Hypoxia
Correct Answer: B
Rationale: Normal values of eosinophils are 1% to 4%. An elevation to 10% would indicate the presence of an allergic reaction.
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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 aware that a person with Hodgkin disease, who has two or more abnormal lymph nodes on the same side of the diaphragm and cancer extending locally from one lymph node area into a nearby organ, would be in which stage?
- A. stage I.
- B. stage II.
- C. stage III.
- D. stage IV.
Correct Answer: B
Rationale: Stage II indicates that there are two or more abnormal lymph nodes on the same side of the diaphragm and cancer that extends from a lymph node area into a nearby organ.
Which would the nurse explain as a type of leukemia that affects noticeably more children and teens than adults?
- A. Chronic lymphocytic leukemia (CLL)
- B. Acute myeloid leukemia (AML)
- C. Acute lymphocytic leukemia (ALL)
- D. Chronic myeloid leukemia (CML)
Correct Answer: C
Rationale: The majority of cases of ALL are children under the age of 5 years.
The typical medical treatment of polycythemia vera involves repeated phlebotomies for which intended benefit?
- A. stimulate bone marrow.
- B. Reduce blood viscosity
- C. increase hemoglobin.
- D. reduce symptoms of gout.
Correct Answer: B
Rationale: Repeated phlebotomy decreases blood viscosity and prevent blood clots.
The nurse caring for a patient in the emergency room with suspected internal injuries will assess for hypovolemic shock, which is evidenced by which symptom?
- A. irritability.
- B. restlessness.
- C. slow bounding pulse.
- D. decreased respirations.
- E. pallor.
- F. hypotension.
Correct Answer: A,B,E,F
Rationale: Indicators of hypovolemia are restlessness, irritability, rapid thready pulse, increasing respirations, pale, cool moist skin, and hypotension. Should the blood loss continue, the patient could go into hypovolemic shock.
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