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

Explanation

A. The P wave on an ECG represents atrial depolarization, which occurs as the electrical impulse originates in the sinoatrial (SA) node and spreads through the atria, initiating atrial contraction.
B. Atrial repolarization typically occurs during the QRS complex and is not represented by the P wave. Atrial repolarization is masked by the larger QRS complex.
C. Ventricular depolarization is represented by the QRS complex on an ECG, as the electrical impulse spreads through the ventricles, leading to ventricular contraction.
D. Ventricular repolarization typically occurs during the T wave and is not represented by the P wave. Ventricular repolarization involves the recovery of ventricular muscle cells after contraction.

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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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

After reviewing an electrocardiogram, the nurse determines that an electrical impulse originated in a patient's sinoatrial (SA) node with a P wave. What does this represent?

Correct Answer is A

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

The nurse responds to a call for assistance with a patient in pulseless ventricular tachycardia. The nurse prepares for what first-line treatment for this rhythm?

The nurse is caring for a patient whose cardiac monitor shows a total absence of electrical impulse as indicated by a flat line. The nurse does not detect a pulse or blood pressure. The nurse would document this as which of the following rhythms?

A nurse is collecting data from a client who has end-stage kidney disease and is waiting for transport to dialysis. Which of the following findings should the nurse expect?

A patient with dehydration will have which color of urine?

The nurse is taking a health history and notes the patient has a history of a splenectomy. For which condition is this patient at risk?

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

A patient is admitted to the hospital for a splenectomy. The nurse understands that the health-care provider prescribes an injection of vitamin K prior to surgery for which action?