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?

Liver disease

Lupus

Pneumonia

Renal disease

Answer and Explanation

The Correct Answer is C

A. While a splenectomy can lead to increased workload on the liver, it does not directly predispose the patient to liver disease.
B. A history of splenectomy does not specifically increase the risk of lupus.

C. Patients who have undergone splenectomy are at increased risk of certain infections, particularly encapsulated bacteria such as Streptococcus pneumoniae, which can cause pneumonia.
D. A history of splenectomy does not directly increase the risk of renal disease.

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Correct Answer is B

Explanation

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.

A. Bowel sounds B. Temperature C. Heart rate D. Skin integrity

Correct Answer is B

Explanation

A. While monitoring bowel sounds is important for assessing gastrointestinal function, it is not the most critical parameter to monitor in a patient with leukemia.
B. Fever can indicate infection, which is a common complication in patients with leukemia due to compromised immune function from the disease and its treatments.
C. Monitoring heart rate is important, but it may not be the most crucial parameter to monitor unless there are specific cardiac concerns.
D. Skin integrity should be monitored, but it may not be the most important parameter to monitor unless there are concerns about skin breakdown or infections.

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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?

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Naxlex Comprehensive Predictor Exams

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?

Correct Answer is B

Explanation

Which finding is most important to monitor when caring for a patient with leukemia?

Correct Answer is B

Explanation

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