A client is about to start chemotherapy for acute lymphocytic leukemia. Which of the following statements shows understanding of this phase of treatment? (Select All that Apply.)

"I may experience increased pain with these treatments."

"I'll be getting high doses of chemotherapy."

The purpose of these treatments is to induce remission."

"I may get sick at this stage of treatment."

"I’ll have treatments only once a month."

Answer and Explanation

Correct Answer : B,C,D

A.   Pain is not typically a primary side effect of chemotherapy for acute lymphocytic leukemia.
B.   Chemotherapy for acute lymphocytic leukemia often involves high doses to target rapidly dividing cancer cells and induce remission.
C.   Chemotherapy for acute lymphocytic leukemia aims to induce remission by destroying cancerous cells in the bone marrow and peripheral blood.
D.   Chemotherapy can suppress the immune system, increasing the risk of infections and illness during treatment.

E.   Chemotherapy for acute lymphocytic leukemia often involves multiple cycles of treatment, which may include different drugs and frequencies.

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Correct Answer is ["C","D","E"]

Explanation

A. Digoxin typically decreases the heart rate by increasing vagal tone and reducing conduction through the atrioventricular node.
B. Digoxin may have minimal effects on blood pressure, primarily by improving cardiac output in patients with heart failure, but its primary action is on cardiac contractility and rhythm.
C. Digoxin has a negative chronotropic effect, meaning it slows the heart rate by increasing parasympathetic tone and decreasing conduction through the atrioventricular node.
D. Digoxin has a positive inotropic effect, meaning it increases the force of cardiac contractions, which can be beneficial in patients with heart failure.
E. Digoxin can suppress ectopic beats (abnormal heart rhythms originating outside the sinoatrial node) by slowing conduction through the atrioventricular node and enhancing vagal tone

A. "I will drink more energy drinks." B. "I will drink red wine with dinner." C. "I will eat fewer potassium-rich foods." D. "I will drink decaffeinated coffee."

Correct Answer is D

Explanation

A. Energy drinks containing caffeine can exacerbate palpitations and should be avoided.
B. Alcohol, including red wine, can trigger or worsen palpitations and should be limited or avoided.
C. Potassium-rich foods are not typically associated with palpitations. In fact, maintaining normal potassium levels is important for heart health.
D. Caffeine can trigger palpitations in susceptible individuals, so switching to decaffeinated coffee may help reduce symptoms.

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A client is about to start chemotherapy for acute lymphocytic leukemia. Which of the following statements shows understanding of this phase of treatment? (Select All that Apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is teaching a patient about digoxin. The nurse would evaluate the patient as understanding the teaching if the patient made which of these statements? Select all that apply.

Correct Answer is ["C","D","E"]

Explanation

A patient reporting palpitations has multiple premature ventricular contractions (PVCS) on an electrocardiogram (ECG) tracing. Which patient statement Indicates teaching is effective?

Correct Answer is D

Explanation

A nurse is reviewing the urinalysis results of a client who reports urinary frequency and burning. Which of the following findings should the nurse report to the provider?

The nurse is caring for a patient with kidney stones. Which intervention should the nurse implement?

The nurse is checking the patency of a new right arm arteriovenous fistula. What action does the nurse use to do this? Select all that apply

Which of the following foods should a client with leukemia avoid?

The nurse is preparing to assist the physician with a bone marrow biopsy. Which intervention is most important for the nurse to carry out before the procedure?

A patient with a cardiac disorder is having increased premature ventricular contractions and feels "anxious" and short of breath. After vital signs are obtained, what actions should the nurse take? Select all that apply.

The nurse is caring for a group of clients. Which client is at highest risk for developing leukemia?

The nurse is caring for a patient who has had three or more premature ventricular contractions occurring in a row on the electrocardiogram tracing. The nurse should document this as which of the following?