Question

1514 UNIT VI A Health Nursing A patient's spouse tells the nurse that her husband who has been admitted to the hospital with advanced leukemia, is talking about dying and expresses fears of death. She asks for suggestions for helping her husband. Which response is best? 1. Your husband will probably die of another news before he dies of leukemia. 2. "Your husband is expressing a readiness to be admitted to a hospice." 3. "Tak of death is natural at this time but will minish as he feels better." 4. "It's normal to want to talk about death what we can do is be supportive by listening." 6. A 28-year-old man is admitted with fatigue: discomfort: enlarged, painless cervical lymph nodes: and pruritus. A lymph node biopsy leads to the diagnosis of Hodgkin's lymphoma. What are the abnormal cells noted by the pathologist in Hodgkin's lymphoma called? 1. Rodem-Lee cells 2. Bulus-Frendelenburg cells Reed-Sternberg cells 4. Stevens-Jorgens cells 7. An adult patient is seen by the nurse at a health maintenance organization for signs of fatigue. The patient has a history of iron deficiency anemia. What data from the nursing history indicate that the anemia is not currently managed effectively? 1. Pallor 2. Poor skin turgor 3. Heart rate of 68 bpm, weak pulse 4. Respiration at 18 breaths/minute and regular 8. What is an important teaching point for a patient who has iron deficiency anemia? 1. Use birth control to avoid pregnancy. 2. Increase fluids to stimulate erythropoiesis. 3. Decrease fluids to prevent sickling of RBCs. Alternate periods of rest and activity to balance Oxygen supply and demand. 9. The nurse instructs a patient about foods rich in iron. Which foods should be included in the diet? 1. Fresh fruit and milk 2. Cheeses and processed lunch meats INDark green, leafy vegetables and organ meats 4. Fruit juices and cornmeal bread 10. Which statement by the patient with pernicious anemia would indicate that she understood the teaching? 1. I be glad when I can stop the injections and take only oral medicine." have to take B, shots for the rest of my life." 3. After a while I no longer need to take shots, just the pills." 4. was glad to hear that pills are available to treat me." 11. A patient is admitted with polycythemia vera. The patient's Hab value is 20 g/dL. Which treatment will be ordered? 1. Whole blood transfusion 2. Platelet transfusion 3. Phlebotomy with removal of 800 mL of blood 4. Vitamin B, injection 12. Which laboratory finding is a strong indicator of disseminated intravascular coagulation (DICT 1. An elevated platelet count 2. An elevated D-dimer test result 1 A normal prothrombin time An elevated fibrinogen level 12. The nurse is teaching the patient with pomicious neris about the disease. The nurse explains that perilous anemia results from the lack of 1. folic acid 2. Intrinsic factor. 3. extrinsic factor. 4. an ABC onzyme. 14. A patient with side cell anemia asks the nurse why the sicking crisis does not stop when oxygen therapy is started. Which statement by the nurse is the most accurate answer? 1. "Sickling occurs in response to decreased blood viscosity, which is not affected by Oxygen therapy. 2. "When red cells sickle, they occlude small vessels. which cause more local hypoxia and more sickling. 3. "The primary problem during a sickle cell crisis is destruction of the abnormal cells, resulting in fewer RBCs to carry oxygen 4. "Oxygen therapy does not alter the shape of the abnormal erythrocytes but only allows for increased Oxygen concentration in Hgb." 15. What nursing interventions are indicated for a patient during a sickle cell crisis? (Select all that apply.) 1. Frequent ambulation 2. Apply antiembolism hose 3. Restrict sodium intake 4. Increase the oral fluid intake 5. Administer therapeutic doses of continuous opioid analgesics 16. Hodgkin's lymphoma occurs more frequently in Individuals with which risk factor? 1. A history of cancer treated with radiation 2. Exposure to nuclear explosions 3. Infection with the Epstein-Barr virus 4. Infection with Helicobacter pylori $7. Which sta oment concerning Hodgkin's lymphoma is correct? 1. The 10-year Survival rate for stage I or Il Hodgkin's lymphoma is more than 9096 2. Hodgkin's lymphoma commonly occurs between the ages of 15 and 35 years. 3. Hodgkin's lymphoma is not a curable disease. 4. The incidence of Hodgkin's lymphoma in the female population has increased. 18. What is an appropriate nursing intervention for a patient with hemophilia who is hospitalized with acute knee pain and edema? 1. Wrapping the knee with an elastic bandage 2. Placing the patient on bed rest and applying ice to the joint 3. Gently performing ROM exercises to the knee to prevent adhesions 4. Administering nonsteroidal antiinflammatory drugs as needed for pain

Answer 1

5)Answer is 4.

6)The classical cell seen in Hodgkins lymphoma is the RSC(Reed Sternberg Cell)

7)Pallor indicates the presence of anemia and hence of inadequate treatment.

8)Pregnancy will worsen the anemia but pregnancy need not be avoided in anemia.

Increasing fluid intake will worsen the anemia.

Sickling is not relevant in iron deficiency anemia.

So answer is 4.

9)Answer is 3

10)In pernicious anemia the absorption of vitamin B12 from the gastrointestinal tract is decreased.So oral pills cant be given,oy parenteral therapy can be administered.