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"I do not understand why this happened to me."
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A client with leukemia is being discharged from the hospital to hospice care. Which statement by the client indicates the client has not achieved the goal for the nursing diagnosis Spiritual Distress?
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Which bone marrow stem cell line is dysfunctional
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What is the rationale for the classification of leukemia?
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Multiple myeloma
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A client was admitted to the hospital with a pathologic pelvic fracture. The client informs the nurse that he has been having a strange pain in the pelvic area for a couple of weeks that was getting worse with activity prior to the fracture. What does the nurse suspect may be occurring based on these symptoms?
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Health history, such as bleeding, fatigue, or fainting
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When assessing a female patient with a disorder of the hematopoietic or the lymphatic system, which of the following assessments is most essential?
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Increase the lung expansion.
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For a patient with Hodgkin disease, who is at a risk for an ineffective airway clearance and an impaired gas exchange, the nurse places the patient in a high Fowler's position to do which of the following?
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Stem cell
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The term that is used to refer to a primitive cell, capable of self-replication and differentiation, is which of the following?
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Neutrophil and platelet counts within normal limits
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What assessment findings best indicate that the patient has recovered from induction therapy?
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Assess for signs of injury.
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A patient presents with peripheral neuropathy and hypothesia of the feet. What is the best nursing intervention?
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Do not lift more than 10 pounds.
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A patient with multiple myeloma is complaining about pain. What instructions will the nurse give the patient to help to reduce pain during activity?
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The patient with enlarged lymph nodes in the neck.
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The nurse is assessing several patients. Which patient does the nurse determine is most likely to have Hodgkin lymphoma?
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Graft-versus-host disease
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A patient with acute myeloid leukemia (AML) is having hematopoietic stem cell transplantation (HSCT) with radiation therapy. In which complication do the donor's lymphocytes recognize the patient's body as foreign and set up reactions to attack the foreign host?
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Hypercalcemia
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A nurse is caring for a client with multiple myeloma. Which laboratory value is the nurse most likely to see?
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Assess for mental state changes. Administer prescribed docusate (Colace) daily.
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Following bone marrow aspiration of a 19-year-old client, analysis reveals more than 20% immature blast cells. Platelet counts are 9000/mm³. What nursing interventions should the nurse employ for the care of this client? Select all answers that apply.
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The nurse delays position changes and bathing if the client is experiencing pain. The nurse instructs the client to avoid activities that may cause injury.
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A home care nurse is caring for a client with multiple myeloma. Which of the following nursing interventions are appropriate for this client? Select all that apply.
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They produce all blood cells.
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Which of the following statements best describes the function of stem cells in the bone marrow?
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Induction therapy
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A patient with AML is having aggressive chemotherapy to attempt to achieve remission. The patient is aware that hospitalization will be necessary for several weeks. What type of therapy will the nurse explain that the patient will receive?
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A 72-year-old patient with a history of cancer
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Which patient assessed by the nurse is most likely to develop myelodysplastic syndrome (MDS)?
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Ruddy complexion
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The nurse is assessing a patent with polycythemia vera. What skin assessment data would the nurse determine is a normal finding for this patient?
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Frequent infections Fatigue from anemia Easy bruising
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A client is suspected of having leukemia and is having a series of laboratory and diagnostic studies performed. What does the nurse recognize as the hallmark signs of leukemia? Select all that apply.
