The oncology nurse assessing a patient with Rai stage II chronic lymphocytic leukemia (CLL) will most likely find:
A) lymphocytosis and no enlargement of the lymph nodes, spleen, or liver.
B) lymphocytosis, an enlarged spleen, and possibly an enlarged liver.
C) lymphocytosis, anemia, and possibly an enlarged spleen or liver.
D) lymphocytosis, thrombocytopenia, and possibly anemia, enlarged lymph nodes, spleen, or liver.
B) lymphocytosis, an enlarged spleen, and possibly an enlarged liver.
Explanation: A) Rai stage I is characterized by lymphocytosis plus enlarged lymph nodes. The spleen and liver are not enlarged, and the red blood cell and platelet counts are near normal. This is not Rai Stage II.
B) Rai stage II is characterized by lymphocytosis plus an enlarged spleen (and possibly an enlarged liver), with or without enlarged lymph nodes. The red blood cell and platelet counts are near normal.
C) Rai stage III is characterized by lymphocytosis plus anemia, with or without enlarged lymph nodes, spleen, or liver. Platelet counts are near normal. This is not Rai Stage II.
D) Rai stage IV is characterized by lymphocytosis plus thrombocytopenia, with or without anemia, enlarged lymph nodes, spleen, or liver. This is not Rai Stage II.
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State nurse practice acts define the legal scope of nursing practice. How can the policies of an institution or organization such as a hospital influence nursing practice? The institution: (Select all that apply.)
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