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 A
Explanation
A. Monitoring fluid intake and output provides direct measurement of fluid balance in the body.
B. Lung sounds may indicate fluid accumulation in the lungs but are not a direct measure of overall fluid balance.
C. Edema may indicate fluid retention but does not provide comprehensive information about fluid balance throughout the body.
D. While weight can be an indicator of fluid balance, it is influenced by factors other than fluid status, such as muscle mass and fat.
Correct Answer is A
Explanation
A. Pulseless ventricular tachycardia requires immediate defibrillation to restore a perfusing rhythm.
B. Antiarrhythmic medications are not typically effective for pulseless ventricular tachycardia as the heart is not effectively pumping blood.
C. Synchronized cardioversion is used for certain tachyarrhythmias with a pulse but is not appropriate for pulseless ventricular tachycardia.
D. A pacemaker is not indicated for pulseless ventricular tachycardia as it does not address the underlying issue of cardiac arrest.
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