A nurse is caring for a client who is being tested for chronic myelogenous leukemia (CML). Which of the following diagnostic tests should the nurse anticipate being prescribed?(Select All that Apply.)
Total iron binding capacity (TIBC)
Fluorescence in situ hybridization test (FISH)
Cytogenic analysis
Reticulocyte count
Reverse transcription-polymerase change reaction (RT-PCR)
Correct Answer : B,C,E
A. This test measures the blood's capacity to bind iron with transferrin, and it is primarily used to evaluate iron metabolism and diagnose iron deficiency anemia. It is not specifically used for diagnosing CML. Therefore, this option is not typically relevant for CML testing.
B. This test is used to detect specific genetic abnormalities associated with CML, particularly the Philadelphia chromosome, which results from a translocation between chromosomes 9 and 22. FISH is a valuable diagnostic tool for identifying the presence of this genetic marker, making this a relevant test for CML.
C. This test examines the chromosomes in cells and is crucial for diagnosing CML. It allows for the detection of chromosomal abnormalities, including the Philadelphia chromosome. Cytogenetic analysis is a standard diagnostic tool in identifying CML and monitoring treatment response.
D. A reticulocyte count measures the number of young red blood cells in the blood and is used to assess bone marrow function. While it can provide some information about bone marrow activity, it is not specific for diagnosing CML. Therefore, it is not a primary diagnostic test for this condition.
E. RT-PCR is a highly sensitive test that detects the BCR-ABL fusion gene, which is characteristic of CML. This test is used not only for diagnosis but also for monitoring treatment response. It is a critical test in the management of CML.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. While this statement aims to offer reassurance, it may come off as dismissive of the client’s current feelings. The client is expressing deep emotions, and saying "everything will be okay" may minimize their experience. It’s better to acknowledge their feelings rather than trying to immediately reassure them without understanding the root of their distress.
B. This response invites the client to express their feelings and thoughts but may come off as interrogative or insensitive, especially if the client is already upset. It might not provide the emotional support the client needs in that moment. A better approach would be to validate their emotions first.
C. This response could be perceived as judgmental or sarcastic, potentially making the client feel invalidated or misunderstood. It does not offer the support they need and may discourage them from expressing their feelings further.
D. This response shows empathy and respect for the client’s feelings. By acknowledging their need for space while also expressing a willingness to engage later, the nurse is providing a supportive approach. It allows the client to feel heard and valued without forcing them to communicate when they may not be ready.
Correct Answer is A
Explanation
A. This option involves the client in their own care and encourages collaboration, which can foster a sense of control and motivation. By setting attainable goals together, the nurse can help the client see progress and feel empowered, potentially improving their willingness to participate in therapy.
B. While it’s important for clients to understand the consequences of their actions, using privileges as a reward for participation can come off as coercive. This approach might increase resistance and resentment, rather than encouraging the client to engage.
C. This option is punitive and likely to exacerbate the client’s feelings of isolation and withdrawal. Limiting support from family and friends can lead to greater resistance and may worsen the client’s emotional state.
D. Providing some level of control can be beneficial; however, allowing complete control over therapy timing may result in inadequate participation. While offering some choice is important, it needs to be balanced with structured therapy sessions to ensure the client receives the necessary rehabilitation.
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