Nokea
Which manifestation is more specific to occur in anaplastic large cell lymphoma (ALCL) than other types of non-Hodgkin lymphoma?
- A. primary bone marrow involvement
- B. intestinal involvement
- C. CNS involvement
- D. primary mediastinal involvement
Correct Answer: D
Rationale: Primary mediastinal involvement is a hallmark feature of ALCL.
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Which is a common side effect of short-term corticosteroid therapy?
- A. Fever
- B. Hypertension
- C. Weight loss
- D. Increased appetite
Correct Answer: D
Rationale: Increased appetite is a common side effect of short-term corticosteroid therapy. Corticosteroids can affect the areas of the brain that control appetite, leading to an increase in hunger and potentially weight gain. While weight loss can occur with long-term corticosteroid use, short-term therapy is more likely to cause increased appetite as a side effect. Fever and hypertension are less commonly associated with short-term corticosteroid therapy.
A 16-year-old mother complaining she feels unhappy living with her husband and his family. The most appropriate action is
- A. refer her to an obstetrician
- B. explain the way of milk expression
- C. apply Edinburgh postnatal depression scale
- D. advise her on milk engorgement
Correct Answer: C
Rationale: The Edinburgh Postnatal Depression Scale is a screening tool for postnatal depression which might address her unhappiness.
A female client with lymphedema expresses her anxiety about the abnormal enlargement of an arm. Which of the ff suggestions should a nurse give to support the clients self image?
- A. Place the arm in the sling
- B. Apply cold soaks to the affected arm
- C. Introduce variations in styles of clothing
- D. Tie a tight bandage to the arm
Correct Answer: C
Rationale: Introducing variations in styles of clothing can help the client feel more comfortable and confident despite the abnormal enlargement of her arm due to lymphedema. By wearing different styles of clothing that accommodate the affected arm, the client can still express her personal style and feel good about her appearance. This approach can help improve the client's self-image and self-esteem, supporting her emotionally as she copes with the condition. Placing the arm in a sling, applying cold soaks, or tying a tight bandage are not appropriate suggestions for addressing the client's anxiety and self-image concerns in this situation.
The beta subunit of human chorionic gonadotropin (HCG) is a useful surface marker in some malignant germ cell tumors (GCTs); it is secreted by syncytiotrophoblasts. In which of the following GCTs this surface marker is characteristically elevated?
- A. teratoma
- B. germinoma
- C. endodermal sinus tumor
- D. embryonal carcinoma
Correct Answer: D
Rationale: Embryonal carcinoma is strongly associated with elevated beta-HCG levels.
A 16-year-old mother complaining she feels unhappy living with her husband and his family. The most appropriate action is
- A. refer her to an obstetrician
- B. explain the way of milk expression
- C. apply Edinburgh postnatal depression scale
- D. advise her on milk engorgement
Correct Answer: C
Rationale: The Edinburgh Postnatal Depression Scale is a screening tool for postnatal depression which might address her unhappiness.