Which of the following foods should a client with leukemia avoid?

Stewed apples

White bread

Well done steak

Carrot sticks

Answer and Explanation

The Correct Answer is C

A.   Stewed apples are generally safe for a client with leukemia unless there are specific dietary restrictions.
B.   While white bread is not typically contraindicated for leukemia patients, it is generally advisable to consume whole grains for better nutrition.
C.   Well-done steak may pose a risk of bacterial contamination, especially for immunocompromised individuals such as those with leukemia. Therefore, it is advisable to avoid undercooked or raw meats.
D.   Carrot sticks are generally safe and nutritious for individuals with leukemia unless there are specific dietary restrictions.

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Correct Answer is B

Explanation

A. This is partially correct but lacks the detail that the examination is done via an endoscope through the throat.
B. An endoscopic retrograde cholangiopancreatography (ERCP) involves the use of an endoscope to visualize and treat problems in the bile ducts, gallbladder, and pancreas.
C. This statement reflects a misunderstanding of the procedure, as ERCP does not involve shock waves to treat gallstones.
D. This statement also reflects a misunderstanding, as ERCP is primarily a diagnostic procedure and does not involve direct medication delivery to the gallbladder.

A. Post chemotherapy B. Diagnosed with sickle cell anemia C. Diagnosed with multiple myeloma D. Post-splenectomy patient

Correct Answer is D

Explanation

A. While patients receiving chemotherapy are at risk for infections due to immunosuppression, the risk of overwhelming infection, particularly from encapsulated bacteria, is higher in post-splenectomy patients due to impaired immune function without the spleen.
B. Patients with sickle cell anemia are at increased risk of infections, particularly from encapsulated bacteria, due to functional asplenia or hyposplenism, but the risk of overwhelming infection is highest in post-splenectomy patients.
C. Patients with multiple myeloma are immunocompromised and at increased risk of infections, but they do not have the same risk of overwhelming infection as post- splenectomy patients.
D. Post-splenectomy patients are at highest risk of overwhelming infection due to impaired immune function resulting from the absence of the spleen, which plays a crucial role in immune surveillance and defense against encapsulated bacteria.

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Which of the following foods should a client with leukemia avoid?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who has cholelithiasis and is scheduled for an endoscopic retrograde cholangiopancreatography. Which of the following statements made by the client indicates an understanding of the teaching?

Correct Answer is B

Explanation

The nurse is giving discharge instructions to a patient on the medical-surgical unit. Which patient should be taught about the possibility of an overwhelming infection?

Correct Answer is D

Explanation

A patient with dehydration will have which color of urine?

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

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

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?

A nurse is collecting data from a client who is African American has cholecystitis. Which of the following areas should the nurse inspect to monitor for the presence of jaundice?

The nurse is caring for a group of patients on the telemetry unit. Which patient should the nurse see first?

A nurse is reinforcing discharge teaching with a client who is postoperative for a traditional cholecystectomy and has a T-tube in place. Which of the following instructions should the nurse include in the teaching?

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