Nokea
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.
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A 23-year-old male patient with hemophilia A says, 'How can I keep my children from having hemophilia A?' Which is the most informative response?
- A. You need to select a very dependable mode of birth control.'
- B. You can only pass hemophilia B to your sons.'
- C. Your daughter may be a carrier and her children may have hemophilia A.'
- D. Your sons should have coagulation studies.'
Correct Answer: C
Rationale: Hemophilia A is an X-linked trait. Females are carriers; therefore, the patient's daughter could pass the disease to her sons.
The nurse explains that the treatment of hemophilia has been revolutionized with the advent of the use of which medical intervention?
- A. corticosteroids.
- B. large doses of testosterone.
- C. Prophylactic use of factors VIII and IX.
- D. transfusion with packed red cells.
Correct Answer: C
Rationale: Recombinant factor VIII and recombinant factor IX have been major forward steps in the treatment of hemophilia.
B cells and T cells fit under which classification?
- A. Erythrocytes
- B. Basophils
- C. Lymphocytes
- D. Monocytes
Correct Answer: C
Rationale: B cells and T cells, the major players in the antigen/antibody conflict, are both lymphocytes.
Which mandatory practice is the most effective and significant nursing practice to prevent the spread of infection for a patient with agranulocytosis?
- A. Strict and frequent hand washing by all people having contact with the patient
- B. Placement of patients in private rooms with high-efficiency particulate air (HEPA) filtration
- C. Administration of combinations of prophylactic antibiotics
- D. Creation of a 'sterile' environment for the patient with the use of laminar airflow rooms
Correct Answer: A
Rationale: Meticulous hand washing by medical and nursing personnel and strict asepsis are mandatory.
Which event causes the kidney to produce erythropoietin?
- A. Decreased erythrocytes
- B. Decreased oxygen levels
- C. Extensive systemic infection
- D. Excessive circulating clotting factor
Correct Answer: B
Rationale: When oxygen levels are low, the kidney produces a hormone known as erythropoietin.