The nurse is creating a plan of care for a patient on the oncology unit. Which patient is at highest risk for developing spontaneous pathological fractures?
Hodgkin lymphoma
Multiple myeloma
Leukemia
Hemophilia
The Correct Answer is B
A. While bone involvement can occur in Hodgkin lymphoma, it is not typically associated with a high risk of spontaneous pathological fractures compared to multiple myeloma.
B. Multiple myeloma is characterized by the destruction of bone tissue, leading to an increased risk of spontaneous pathological fractures.
C. Leukemia primarily affects the bone marrow and may cause bone pain but does not typically lead to spontaneous pathological fractures.
D. Hemophilia is a bleeding disorder characterized by a deficiency in clotting factors and is not directly associated with an increased risk of spontaneous pathological fractures.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. A specific gravity within the normal range indicates adequate urine concentration and hydration status, which is not typically concerning.
B. This color is indicative of normal urine concentration and hydration status and is not necessarily indicative of urinary tract pathology.
C. Absence of glucose in the urine is a normal finding and does not typically warrant further investigation.
D. Microscopic hematuria (blood in the urine not visible to the naked eye) may indicate underlying urinary tract pathology, such as infection, inflammation, or kidney stones, and should be reported to the provider for further evaluation and management.
Correct Answer is A
Explanation
A. Atrial flutter is characterized by a regular rhythm with rapid atrial contractions (flutter waves) that have a sawtooth appearance on the ECG tracing.
B. Ventricular tachycardia typically presents with a wide QRS complex and is often associated with hemodynamic instability.
C. Atrial fibrillation is characterized by irregularly irregular rhythm with no distinct P waves and irregular ventricular response.
D. Sinus tachycardia is characterized by a regular rhythm with a heart rate greater than 100 beats per minute originating from the sinus node.
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