Nokea
Which finding will the nurse expect in a patient who is hospitalized with stage I Hodgkin lymphoma?
- A. Skeletal pain.
- B. Enlarged lymph nodes.
- C. T-cell blasts in the lymph node.
- D. Lymphoblasts in the cerebrospinal fluid.
Correct Answer: B
Rationale: Enlarged lymph nodes are a characteristic feature of stage I Hodgkin lymphoma, where the disease is localized to one group of lymph nodes.
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Which erythrocyte characteristic would the nurse expect to see in the laboratory findings for a patient who has experienced acute blood loss?
- A. Microcytic.
- B. Normocytic.
- C. Hypochromic.
- D. Megaloblastic.
Correct Answer: B
Rationale: Normocytic erythrocytes, or normal-sized red blood cells, are usually seen in acute blood loss as the body's initial response doesn't alter the size of red blood cells.
A patient is diagnosed with primary hypertension and asks the nurse what caused the condition. Which response would the nurse give?
- A. There is no identified cause!
- B. A decrease in plasma renin levels.
- C. Too much plaque in the blood vessels.
- D. Kidney disease is the most common cause.
Correct Answer: A
Rationale: Primary hypertension, or essential hypertension, has no identifiable cause in most cases, distinguishing it from secondary hypertension.
Which information will the nurse include when teaching a patient who is receiving chemotherapy for leukemia?
- A. The treatment has severe side effects, some of which will be permanent.
- B. You need to use your call light to ask for help every time you get out of bed.
- C. Prevention and early detection of infection are important during leukemia treatment.
- D. Feeling isolated is a common and unavoidable consequence of leukemia treatment.
Correct Answer: C
Rationale: Prevention and early detection of infection are critical during leukemia chemotherapy due to immune suppression, a key patient education point.
Which goal is a primary objective for a patient who has chronic heart failure (HF)?
- A. Maximizing cardiac output.
- B. Maintaining ideal body weight.
- C. Performing daily aerobic exercises.
- D. Maintaining a steady pulse oximetry reading.
Correct Answer: A
Rationale: Maximizing cardiac output is a primary goal for patients with chronic heart failure (HF) because it helps improve tissue perfusion and oxygen delivery to meet the body's demands. It is a crucial aspect of managing heart failure and preventing further complications.
Which explanation will the nurse give a patient with non-Hodgkin lymphoma about the purpose of a planned lumbar puncture?
- A. To rule out any bone marrow involvement.
- B. To determine the level of cell differentiation.
- C. To establish which lymph cell type is involved.
- D. To find any central nervous system involvement.
Correct Answer: D
Rationale: A lumbar puncture in non-Hodgkin lymphoma is used to detect central nervous system involvement by examining cerebrospinal fluid for lymphoma cells.