A patient wants to know about risk factors for acute leukemia. Which of the following should the nurse include? (select all that apply)

a. Cytomegalovirus (CMV) infection
b. Eating genetically modified food
c. Chemotherapy treatment for other cancers
d. Excessive ultraviolet radiation exposure
e. Ovarian cancer


ANS: C, D, E
Hepatitis C or HIV can predispose the patient to leukemia, not CMV. Drugs that cause bone marrow depression, such as chemotherapeutic agents, predispose an individual to leukemia; eat-ing genetically modified food is not a predisposing factor. Excessive ultraviolet radiation expo-sure can predispose an individual to myelogenous leukemia. Acute leukemia may also develop secondary to certain acquired disorders, including ovarian cancer.

Nursing

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ANS:

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The nurse is reviewing a postoperative client's chart prior to a physician's office visit

Lab reports reveal a prior WBC of 40,000/mm3, a current WBC count of 8000/mm3, and a current wound culture negative, following a Staphylococcus aureus infection. Tertiary intention of wound healing is documented at the last visit. Which current assessment of wound healing is anticipated? A) Wound edges well approximated. No redness/swelling noted. B) Edges of incision well approximated with the center of incision open. Green purulent drainage noted. C) Wound edges sutured. Scant amount of drainage noted. No foul odor. D) Wound packed with inch sterile packing material; interior pink.

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When percussing the liver, the sound should be:

A) resonant B) hyperresonant C) dull D) flat

Nursing