A client is about to start chemotherapy for acute lymphocytic leukemia. Which of the following statements shows understanding of this phase of treatment? (Select All that Apply.)

"I may experience increased pain with these treatments."

"I'll be getting high doses of chemotherapy."

The purpose of these treatments is to induce remission."

"I may get sick at this stage of treatment."

"I’ll have treatments only once a month."

Answer and Explanation

Correct Answer : B,C,D

A.   Pain is not typically a primary side effect of chemotherapy for acute lymphocytic leukemia.
B.   Chemotherapy for acute lymphocytic leukemia often involves high doses to target rapidly dividing cancer cells and induce remission.
C.   Chemotherapy for acute lymphocytic leukemia aims to induce remission by destroying cancerous cells in the bone marrow and peripheral blood.
D.   Chemotherapy can suppress the immune system, increasing the risk of infections and illness during treatment.

E.   Chemotherapy for acute lymphocytic leukemia often involves multiple cycles of treatment, which may include different drugs and frequencies.

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Correct Answer is A

Explanation

A. Older adults with UTIs may present with atypical symptoms such as confusion or acute changes in mental status, known as delirium, rather than classic urinary symptoms. This is often referred to as "geriatric UTI syndrome" and can be the only presenting symptom in some cases.
B. Incontinence can occur in individuals of all ages with UTIs and is not unique to older adults.
C. Urinary retention is not typically associated with UTIs in older adults; instead, they may experience urinary frequency and urgency.
D. Low back pain can occur in individuals of all ages with UTIs and is not unique to older adults.

A. Examine the patient and collect data. B. Notify the health-care provider immediately. C. Obtain vital signs. D. Administer antiarrhythmic medication.

Correct Answer is B

Explanation

A. While assessment and data collection are important, the priority in the presence of a life-threatening arrhythmia is to initiate immediate interventions to address the situation.
B. The nurse should immediately inform the healthcare provider about the life- threatening arrhythmia to obtain further guidance and potential orders for intervention.
C. Vital signs are important, but they should not delay immediate action when a life- threatening arrhythmia is present.

D. Administering antiarrhythmic medication may be necessary, but the nurse should first notify the healthcare provider to obtain orders and guidance before administering any medications.

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A client is about to start chemotherapy for acute lymphocytic leukemia. Which of the following statements shows understanding of this phase of treatment? (Select All that Apply.)

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Naxlex Comprehensive Predictor Exams

A nurse is assessing an older adult client who has a urinary tract infection (UTI). Which of the following findings should the nurse identify as unique for this age group?

Correct Answer is A

Explanation

The nurse sees a life-threatening arrhythmia on a patient's cardiac monitor. Which of the following actions should the nurse take first?

Correct Answer is B

Explanation

A patient with multiple myeloma develops hypercalcemia. Which intervention can help minimize complications related to hypercalcemia?

The nurse is reviewing a patient's electrocardiogram (ECG) tracing. Which of the following are characteristics of normal sinus rhythm (NSR?

The nurse is teaching a patient with multiple myeloma how to remain safe in the home. Which problem should be a priority for this patient?

The nurse is caring for a client with Hodgkin lymphoma. Which clinical manifestations can the nurse expect to find? (Select All that Apply.)

The nurse is caring for a patient whose cardiac monitor shows a total absence of electrical impulse as indicated by a flat line. The nurse does not detect a pulse or blood pressure. The nurse would document this as which of the following rhythms?

A nurse is reviewing the urinalysis results of a client who reports urinary frequency and burning. Which of the following findings should the nurse report to the provider?

A nurse is assisting with the plan of care for a client who has leukemia and whose platelet count is 50,000 mm. Which of the following interventions should the nurse include in the plan of care?