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

Answer and Explanation

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.

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Correct Answer is ["A","B","D"]

Explanation

A. Hodgkin's disease is characterized by the presence of Reed-Sternberg cells, which are large, abnormal lymphocytes.
B. Enlarged, painless lymph nodes, particularly in the neck, armpits, or groin, are characteristic of Hodgkin's disease.
C. Skeletal pain is not a typical symptom of Hodgkin's disease. Patients may experience generalized symptoms such as fatigue, fever, and weight loss.
D. Hodgkin's disease has a relatively high cure rate, especially in comparison to other types of lymphomas. Advances in treatment have improved outcomes for many patients with Hodgkin's disease.
E. Philadelphia chromosome is associated with chronic myeloid leukemia, not Hodgkin's disease.

A. Sanguineous B. Purulent C. Serous D. Serosanguineous

Correct Answer is B

Explanation

A. Sanguineous drainage is typically bright red and composed mainly of red blood cells. It is common immediately after surgery but does not typically indicate infection.
B. Purulent drainage is thick, yellow, or greenish in color and contains pus, indicating infection. It requires prompt assessment and intervention.
C. Serous drainage is clear, watery, and pale yellow in color. It is typically a normal finding in surgical wounds.
D. Serosanguineous drainage is pink to pale red and contains a mixture of blood and serum. It is common in the early stages of wound healing.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following are characteristics of Hodgkin's disease? (Select All that Apply.)

Correct Answer is ["A","B","D"]

Explanation

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?

Correct Answer is B

Explanation

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