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

Bowel sounds

Temperature

Heart rate

Skin integrity

Answer and Explanation

The Correct Answer is B

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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Correct Answer is D

Explanation

A. Leukemia itself doesn't necessitate contact precautions unless there are other specific infectious concerns, which are not mentioned in this scenario.
B. Ibuprofen is contraindicated in patients with low platelet counts due to the risk of bleeding. Therefore, administering ibuprofen would exacerbate the risk of bleeding in this patient.
C. Invasive procedures like rectal temperature measurements should be avoided in patients with low platelet counts due to the risk of bleeding. Thus, this intervention increases the risk of harm to the patient.
D. Patients with low platelet counts are at risk for bleeding, including gastrointestinal bleeding. Administering a stool softener can help prevent straining during bowel movements, reducing the risk of bleeding and promoting patient comfort and safety.

A. It is distinguished by the presence of Reed-Sternberg cells B. Painless swelling of cervical, axillary or inguinal nodes occurs C. Skeletal pain is a common symptom D. It is the most curable of all lymphomas E. It is distinguished by the presence of Philadelphia chromosome

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.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting with the plan of care for a client who has leukemia and whose platelet count is 50,000 mm. Which of the following interventions should the nurse include in the plan of care?

Correct Answer is D

Explanation

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

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

Explanation

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