A charge nurse is teaching a newly licensed nurse about risk factors for chronic myelogenous leukemia (CML). Which of the following information should the nurse include?
Exposure to radiation
Family history
Another type of cancer
Genetic mutation
The Correct Answer is A
A. Exposure to radiation - Exposure to high levels of radiation is a known risk factor for developing CML. Historical data, such as from atomic bomb survivors, show a higher incidence of leukemia, including CML, among those exposed to radiation.
B. Family history - CML is generally not associated with a significant familial risk. It is more commonly linked to acquired genetic mutations rather than inherited predispositions.
C. Another type of cancer - Having another type of cancer does not directly increase the risk of developing CML. However, treatments for other cancers, like radiation therapy, might increase risk.
D. Genetic mutation - The development of CML is associated with a specific acquired genetic mutation known as the Philadelphia chromosome (translocation between chromosomes 9 and 22), rather than inherited genetic mutations.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Scatter rugs are present in the kitchen - Scatter rugs can cause tripping and slipping, posing a significant fall risk for someone with vision impairment.
B. Handrails are present in the bathroom - Handrails provide support and help prevent falls, making them a safety feature, not a risk.
C. Electrical cords are placed along the walls - This helps prevent tripping over cords, thus reducing fall risk.
D. Uses a microwave for cooking - A microwave is generally safer than a stove as it reduces the risk of burns and fires, making it a safety feature.
Correct Answer is B
Explanation
A. "Vision changes occur suddenly due to complete obstruction of aqueous humor outflow." This describes acute angle-closure glaucoma, not retinal detachment.
B. "Vision changes occur when retinal tissue pulls away from the blood vessels in the eye." Retinal detachment happens when the retina separates from its supporting tissues, including the blood vessels, leading to vision loss.
C. "Vision changes occur when the retina begins to break down and collect bits of debris." This describes age-related macular degeneration, not retinal detachment.
D. "Vision changes occur when the cloudy lens alters the passage of light through the eye." This describes cataracts, not retinal detachment.
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