A 54-year-old patient is admitted to the hospital in the final stage of chronic lymphocytic leukemia (CLL). Which of the following manifestations of CLL would the nurse expect to find while collecting admission data?
a. Nausea and vomiting
b. Hypotension and alopecia
c. Cervical lymphadenopathy and chest pain
d. Fever and abnormal bleeding
ANS: D
During the acute phase of CLL, the patient may exhibit high fevers from infection and ecchymosis or petechiae from thrombocytopenia. Nausea, vomiting, and alopecia are side effects of chemotherapy. Lymphadenopathy and chest pain are not generally associated with leukemias.
You might also like to view...
What should the nurse consider when having consent forms signed for surgery and procedures on children?
a. Only a parent or legal guardian can give consent. b. The person giving consent must be at least 18 years old. c. The risks and benefits of a procedure are part of the consent process. d. A mental age of 7 years or older is required for a consent to be considered "informed."
A client has been prescribed both a bronchodilator and a steroid medication that is delivered by inhaler. What information is essential to teach this client in regard to these medications?
1. The medications cannot be used on the same day. 2. The steroid inhaler should be used when immediate effects are necessary. 3. The bronchodilator should be used only when absolutely necessary and only after the steroid inhaler. 4. Both medications have the possible side effect of increased heart rate.
A woman is 5'7" tall, weighs 160 pounds, and wears a size 8 shoe. She says, "My feet are huge. I've asked three orthopedists to surgically reduce my feet."
The patient tries to buy shoes to make her feet look smaller, and in social settings conceals both feet under a table or chair. Which health problem is likely? a. Dissociative fugue b. Prominent pain disorder c. Body dysmorphic disorder d. Depersonalization disorder
The nurse is caring for patients who have experienced traumatic events. Which should the nurse identify as a goal of care for these patients? (Select all that apply.)
1. Understand symptoms as attempts to cope. 2. Provide regular medication education and monitoring. 3. Collaborate between provider and consumer at all phases of service delivery. 4. Protect patients with a history of trauma from physical harm and re-traumatization. 5. Focus on what has happened to the person rather than what is wrong with the person.