A patient has been diagnosed with acute lymphocytic leukemia (ALL) and asks the healthcare professional to describe it. What description by the professional is most accurate?
a. ALL is a progressive neoplasm defined by the presence of greater than 30% lymphoblasts in the bone marrow or blood.
b. In ALL, immature blasts cells replace normal myelocytic cells, megakaryocytes, and erythrocytes.
c. B cells fail to mature into plasma cells that synthesize immunoglobulins.
d. The translocation of genetic material from genes 9 and 22 create an abnormal, fused gene identified as BCR-ABL
Ans: a. ALL is a progressive neoplasm defined by the presence of greater than 30% lymphoblasts in the bone marrow or blood.
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Which of the following interventions applies to all eating disorders?
A. Encourage patients to identify the thoughts and feelings associated with eating. B. Do a strict intake, output, and calorie count for each shift. C. Keep patients in view for 1 to 2 hours after meals. D. Have a staff person monitoring each table during meals.
The wife of a patient with a cuffed tracheostomy asks why the cuff is inflated intermittently. What is the purpose of the inflated cuff?
a. Prevent regurgitation after meals b. Hold the trachea open until it is completely healed c. Dilate the tracheal opening for passage of secretions d. Prevent aspiration when eating
ANS: D Tactile interventions can have both positive and negative effects on neonates. For physiologically unstable infants and those who are disturbed during sleep, outcomes such as gasping, grunting, decreased oxygen saturation, apnea, and bradycardia ha
a. Prone b. Supine c. Position of comfort d. Abdomen with head elevated
An elderly client has constipation. He asks the nurse the reason for this. What is the best response by the nurse?
1. "You could have a serious illness and should check with your doctor." 2. "You probably drink too much alcohol and end up constipated." 3. "You probably don't eat enough fiber, so the stool stays in your intestine too long." 4. "Your large intestine is old and does not work as well as it used to."