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

An individual who drinks alcohol

An individual with Down syndrome

A client with hemophilia

A client with iron deficiency anemia

Answer and Explanation

The Correct Answer is B

A.   While excessive alcohol consumption can contribute to various health problems, it is not a known risk factor for leukemia.
B.   Down syndrome is associated with an increased risk of developing leukemia, particularly acute lymphoblastic leukemia (ALL).

C.   Hemophilia is a bleeding disorder and is not directly associated with an increased risk of leukemia.
D.   Iron deficiency anemia is not a known risk factor for leukemia.

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Correct Answer is A

Explanation

A. Three or more consecutive premature ventricular contractions (PVCs) on an ECG tracing is indicative of ventricular tachycardia, a serious arrhythmia that requires prompt intervention.
B. Bigeminy refers to a pattern of every other beat being a PVC, not necessarily three or more consecutive PVCs.
C. Ventricular fibrillation is characterized by chaotic, disorganized ventricular activity on the ECG and is not defined by the presence of consecutive PVCs.
D. Trigeminy refers to a pattern of every third beat being a PVC, not necessarily three or more consecutive PVCs.

A. Swab teeth and mucous membranes four times daily with lemon-glycerin swabs B. Brush teeth twice a day with a firm toothbrush C. Use sponge Toothettes to clean teeth between meals D. Use waxed floss between meals and at bedtime

Correct Answer is C

Explanation

A. Lemon-glycerin swabs can dry out and irritate oral tissues, increasing the risk of oral mucositis and infection.
B. Using a firm toothbrush may be too harsh for irritated mucous membranes and can increase the risk of injury and bleeding.
C. Gentle oral care is essential to avoid further irritation of the mucous membranes.

D. Flossing may be too abrasive for irritated mucous membranes and can increase the risk of bleeding and injury.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is A

Explanation

A patient receiving chemotherapy for chronic myelocytic leukemia has irritates mucous membranes. Which of the following mouth care interventions would the nurse include in the plan of care?

Correct Answer is C

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?

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