A 54-year-old patient is admitted to the hospital in the final stage of chronic lymphocytic leukemia (CLL). Which manifestations of CLL should the nurse expect to find while collecting admission data?
a. Nausea and vomiting
b. Hypotension and alopecia
c. Fever and abnormal bleeding
d. Cervical lymphadenopathy and chest pain
ANS: C
During the acute phase of CLL, the patient may exhibit high fevers from infection and ecchymosis or petechiae from thrombocytopenia. A. B. Nausea, vomiting, and alopecia are side effects of chemotherapy. D. Lymphadenopathy and chest pain are not generally associated with leukemia.
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Chronic stress may lead directly to cardiovascular disease because of the repeated release of which of the following?
a. Histamine b. Catecholamines c. Cortisol d. Protease
After a posterior nasal pack is inserted by the physician, the client is very anxious and states, "I don't feel like I'm breathing right." The immediate intervention the nurse would initiate is
a. collect a specimen for arterial blood gases (ABGs). b. cut the pack strings and pull the packing out. c. inspect the client's oral cavity using a flashlight. d. reassure the client that this is normal discomfort.
After classroom discussion regarding confidentiality policies and laws protecting client records, a student asks why it's OK for them to review and have access to client records in the clinical area
The nurse educator responds correctly by stating that: A) "Confidentiality and privacy laws don't apply to students." B) "As long as the clinical instructor is in the area, accessing client records is part of the education process." C) "Most students review so many records and charts that they could not possibly remember details from any one of them." D) "Records are used in educational settings and for learning purposes, but the student is bound to hold all information in strict confidence."
A nurse who is being sensitive to the client's needs would do which of the following?
A) Avoid the use of silence. B) Use closed-ended questions. C) Listen to the client's feelings. D) Refrain from asking for details so the client does not feel pressured.