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)

Answer and Explanation

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

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Correct Answer is B

Explanation

A. While the ability to feel sensations may be affected depending on the level and completeness of the spinal cord injury, many individuals with spinal cord injuries can still experience arousal through touch, especially in areas above the injury level.
B. This statement is appropriate and encouraging. It promotes self-exploration and helps the client understand that their body can still respond in ways that may lead to enjoyment. It acknowledges the importance of finding what feels pleasurable, which can enhance sexual health and intimacy after an injury.
C. While promoting a positive self-image is important, this statement may come off as dismissive of the client’s feelings. While the intention is to support the client's self-esteem, it’s more important to acknowledge that feelings of desirability can be complex after an injury, and it’s okay to have mixed emotions about body image.
D. This statement is misleading and harmful. Many individuals with spinal cord injuries can and do engage in intimate relationships. While there may be challenges, such relationships are entirely possible and can be fulfilling.

A. Sexual intercourse B. Loose clothing C. Nausea D. Surgery below level of injury E. Urinary tract infections

Correct Answer is ["A","D","E"]

Explanation

A. Sexual activity can indeed trigger autonomic dysreflexia due to increased stimulation of the pelvic nerves, which can lead to a hypertensive crisis. This is particularly relevant for individuals with injuries at or above T6.
B. Loose clothing typically does not trigger autonomic dysreflexia. However, tight or constrictive clothing can be a potential irritant that may lead to dysreflexia. Thus, this option does not apply to the triggers of autonomic dysreflexia.
C. Nausea is not commonly identified as a trigger for this condition.
D. Surgery below the level of the injury can indeed trigger autonomic dysreflexia. This is because the body may perceive the surgical procedure as a noxious stimulus, leading to a reflexive autonomic response and an increase in blood pressure.
E. Urinary tract infections (UTIs) are a common trigger for autonomic dysreflexia in individuals with spinal cord injuries. The presence of infection can cause irritation and noxious stimulation of the bladder, leading to an autonomic response and hypertension.

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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.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who has a spinal cord injury about sexual stimulation. Which of the following statements by the nurse should be included in the teaching?

Correct Answer is B

Explanation

A nurse is caring for a client who has a spinal cord injury at the first thoracic level. Which of the following should the nurse recognize can trigger autonomic dysreflexia?(Select All that Apply.)

Correct Answer is ["A","D","E"]

Explanation

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