The client who has chronic leukemia is MOST likely to die from which of these conditions?

a. aggressive chemotherapy c. bone marrow transplantation
b. viral and fungal pneumonia d. persistent blood loss


B
Chronic leukemia, in which the WBC count increases gradually over time, usually occurs in adults; when an acute phase develops, death is imminent. Chemotherapy is the main medical treatment for clients who have chronic leukemia and improves the quality of life but not the length. A bone marrow transplant can be used to treat chronic myelogenous leukemia.

Nursing

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The nurse has provided education for a nursing assistant on culturally competent care. Which statement made by a nursing assistant is the most correct about culturally competent care?

1. "I will respect my client's daily prayer ritual." 2. "I will ask my clients how they would like to be addressed." 3. "I will provide my client uninterrupted time to visit their family." 4. "I will ask my client if they would like to participate in any activities."

Nursing

Which is the most likely cause of wrinkles in the skin of older adults?

1) Decreased collagen and subcutaneous fat 2) Atrophy of sweat glands 3) Decline in fibroblast proliferation 4) Decreased vascularity

Nursing

During class, a nursing student asks, "I read an article that was talking about integrative medicine. What is that?" Which response by the instructor would be most appropriate?

A) "It refers to the use of complementary and alternative medicine in place of traditional therapies for a condition." B) "It means that complementary and alternative medicine is used together with conventional therapies to reduce pain or discomfort." C) "It means that mainstream medical therapies and complementary and alternative therapies are combined based on scientific evidence for being effective." D) "It refers to situations when a client and his or her family prefer to use an unproven method of treatment over a proven one."

Nursing

The nurse is preparing a client for an annuloplasty. Which of the following describes the purpose of this type of surgery?

A) Improves the functioning of the chordae tendineae and papillary muscles B) Tightens the ring of tissue around the valve C) Repairs a floppy or prolapsed valve leaflet D) Replaces a defective heart valve

Nursing