Click to highlight the five errors in the following paragraph.

Joe is a 28-year-old construction worker diagnosed with stage 1 Hodgkin disease. He initially went to his health care provider because of a painful lump in his neck. He is also experiencing high fevers and weight loss. The diagnosis was confirmed in a laboratory test by the presence of Bence-Jones cells. He expresses his fears to his nurse, who tells him that Hodgkin disease is not really cancer, but it is often curable. Joe takes a leave from work and begins palliative radiation therapy.

painful lump in his neck

high fevers

presence of Bence-Jones cells

not really cancer

palliative radiation therapy

Answer and Explanation

The Correct Answer is ["A","B","C","D","E"]

First, Hodgkin lymphoma (HL) is commonly characterized by painless lymphadenopathy and is not painful, as stated above. Secondly, HL is often characterized by a low-grade fever rather than a high fever. Third, the presence of Bence-Jones cells in a laboratory test is not associated with Hodgkin lymphoma but indicates multiple myeloma, a different type of cancer. Fourth, Hodgkin disease is indeed a form of cancer; it is a malignancy of the lymphatic system. The nurse's statement that it is "not really cancer" is incorrect and misleading. Fifth, palliative radiation therapy is typically used to relieve symptoms in advanced stages of cancer or non-curative scenarios. However, for stage 1 Hodgkin lymphoma, the treatment usually involves chemotherapy and/or radiation therapy with curative intent, not palliative. Joe's nurse should provide accurate information about the nature of Hodgkin's disease and its treatment options, which are based on the stage and specific characteristics of the lymphoma.

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Free Nursing Study Resources

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.

A. dysuria B. Ammonia-smelling urine C. frequency D. amber urine E. urgency

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

Explanation

A. Dysuria, or painful urination, is a common symptom of a urinary tract infection (UTI) due to irritation of the urinary tract lining by bacteria.
B. While strong-smelling urine can occur with a UTI, it's not specific to UTIs and can have other causes. Ammonia-smelling urine can be indicative of a UTI, especially if accompanied by other symptoms such as dysuria or frequency.
C. Increased frequency of urination can be a symptom of a UTI as the body attempts to flush out the bacteria causing the infection.
D. Amber urine color can result from concentrated urine due to dehydration but is not specific to a UTI.

E. Urinary urgency, or a sudden and compelling need to urinate, can be a symptom of a UTI due to irritation of the bladder lining by bacteria

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

The nurse is collecting data on a patient who has presented to the HCP's office with a fever. Which of these findings are indicators of a UTI to the nurse? Select all that apply.

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

Explanation

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

A nurse is caring for a client who has cholelithiasis with bile duct obstruction. The nurse should expect which of the following findings when obtaining the client's urine specimen?

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.)

A nurse is caring for a client who is 3 days postoperative following a cholecystectomy. The nurse suspects the client's wound is infected because the drainage from the dressing is yellow and thick. Which of the following findings should the nurse report as the type of drainage found?

What discharge teaching is most important to help the patient who has had a splenectomy prevent infection?

Which of the following describe the function of the kidneys? Select all that apply.

The nurse prepares to document an electrocardiogram rhythm. The nurse uses a systematic method for analyzing the electrocardiogram tracing for which of the following reasons