The nurse is creating a plan of care for a patient on the oncology unit. Which patient is at highest risk for developing spontaneous pathological fractures?

Hodgkin lymphoma

Multiple myeloma

Leukemia

Hemophilia

Answer and Explanation

The Correct Answer is B

A.   While bone involvement can occur in Hodgkin lymphoma, it is not typically associated with a high risk of spontaneous pathological fractures compared to multiple myeloma.
B.   Multiple myeloma is characterized by the destruction of bone tissue, leading to an increased risk of spontaneous pathological fractures.
C.   Leukemia primarily affects the bone marrow and may cause bone pain but does not typically lead to spontaneous pathological fractures.
D.   Hemophilia is a bleeding disorder characterized by a deficiency in clotting factors and is not directly associated with an increased risk of spontaneous pathological fractures.

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Correct Answer is B

Explanation

A. While excessive alcohol consumption can contribute to various health problems, it is not a known risk factor for leukemia.
B. Down syndrome is associated with an increased risk of developing leukemia, particularly acute lymphoblastic leukemia (ALL).

C. Hemophilia is a bleeding disorder and is not directly associated with an increased risk of leukemia.
D. Iron deficiency anemia is not a known risk factor for leukemia.

A. signs of polycythemia B. Need for fluid restrictions C. Obtain a daily weight D. Frequent oral care E. Normal protein in the diet F. Avoid nephrotoxic substances G. Decrease sodium in the diet H. Close monitoring of urine output

Correct Answer is ["B","C","D","E","G","H"]

Explanation

A. Polycythemia (an abnormally high red blood cell count) is not typically a primary concern in dialysis patients; instead, they are more often monitored for anemia.
B. Dialysis patients often need to restrict fluid intake to prevent fluid overload, which can exacerbate edema and cause additional cardiovascular strain.
C. Daily weight monitoring is crucial for dialysis patients to track fluid balance and detect any sudden changes that might indicate fluid retention or loss.
D. Frequent oral care is important to prevent infections, particularly because dialysis patients are at increased risk due to their compromised immune systems and possible fluid restrictions, which can lead to dry mouth and other oral health issues.
E. Dialysis patients may need a modified protein intake, depending on their specific needs and the type of dialysis (hemodialysis vs. peritoneal dialysis). Protein needs can vary, so it is essential to follow the specific dietary recommendations provided by a healthcare provider.
F. Avoiding nephrotoxic substances (e.g., certain medications, contrast dyes) is critical to protect the remaining kidney function and prevent further damage.
G. A low-sodium diet helps manage blood pressure and fluid balance, reducing the risk of fluid retention and hypertension in dialysis patients.

H. Monitoring urine output is important to assess kidney function and fluid balance.

Even though dialysis takes over some kidney functions, any remaining urine output can provide valuable information about the patient's residual kidney function.

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The nurse is creating a plan of care for a patient on the oncology unit. Which patient is at highest risk for developing spontaneous pathological fractures?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a group of clients. Which client is at highest risk for developing leukemia?

Correct Answer is B

Explanation

The nurse is caring for a 32-year-old female patient coming to the clinic with peripheral edema, periorbital edema, and flank pain. Use the chart to answer the questions. Exhibits Which items should the nurse include when teaching the patient and family about dialysis? Select all that apply.

Correct Answer is ["B","C","D","E","G","H"]

Explanation

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