The mother of a 4-year-old child with leukemia says to the nurse, "I don't understand why he is crying about his legs hurting." The nurse's most informative response would be based on the information that bone pain is related to:
a. Elevated WBCs in differential
b. Long periods of inactivity
c. Splenomegaly
d. Bone marrow congested with white cells
ANS: D
Long bone pain is the result of bone marrow that is congested with immature white cells.
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a. intellectual c. social b. emotional d. spiritual
A patient who just suffered a hemorrhagic stroke is brought to the emergency department by ambulance. What would the nurse's primary assessment focus on?
A) Cardiac and respiratory status B) Seizure activity C) Urinary output D) Fluid and electrolyte balance
The nurse cannot palpate a client's pedal pulse following an open reduction internal fixation procedure for a fractured tibia. Which of the following is a priority intervention for this client?
1. Notify the surgeon of the problem 2. Check the lower extremity for pallor 3. Use a Doppler ultrasound to find the pedal pulse 4. Assess the client's pain rating
Transnasal, or nasogastric (NG), feeding would be most appropriate for which client?
A) A middle-aged man with a functional gastrointestinal (GI) tract, poor appetite, and thermal injuries B) An elderly comatose woman who has had a stroke C) An elderly woman with Alzheimer disease who is confused and agitated D) An alcoholic with severe acute pancreatitis