SOLVED

Chapter 29 Question 1 A patient in the acute care unit has developed neutropenia. A nurse would identify which history as a possible etiology of this condition? 1. The patient had symptoms of an untreated bacterial infection for a week prior to admission. 2. The patient’s blood sugar was 120 mg/dL on admission. 3. The patient’s lab work reveals a vitamin C deficiency. 4. The patient has been receiving chemotherapy treatment for lung cancer. Question 2 A patient with neutropenia develops a fever. Which nursing action is most important? 1. Discuss the finding with the primary care provider. 2. Encourage oral fluids. 3. Review the medical record for trending. 4. Document this expected finding. Question 3 A patient is prescribed filgrastim (Neupogen). Which nursing intervention is indicated? 1. Prepare the medication for intramuscular injection. 2. Allow the medication to warm to room temperature for no longer than 6 hours. 3. Withdraw prescribed amount and return remaining medication to refrigerator for later use. 4. Discard vial if left at room temperature for longer than 4 hours. 5. Give the medication at least 24 hours following cytotoxic chemotherapy. Question 4 A patient receiving a blood transfusion begins gasping for breath 10 minutes into the transfusion. The nurse realizes the patient is experiencing which type of hypersensitivity response? 1. Type I 2. Type III 3. Type IV 4. Type II Question 5 A patient, recovering from skin grafts to the arm because of burn injuries, is demonstrating an increase of drainage, bleeding, and edema. The nurse prepares to treat which complication? 1. Arthus reaction 2. Serum sickness 3. Type I hypersensitivity reaction 4. Type IV hypersensitivity reaction Question 6 A patient tells the nurse that he had a tuberculin test several months ago and the site of injection became very red and inflamed. How should the nurse interpret this information? 1. This Arthus reaction is common with tuberculin tests. 2. This type IV hypersensitivity response indicates the tuberculin test was positive. 3. Since this type II hypersensitivity response occurred, the patient should never have another tuberculin test. 4. The patient will require chest x-ray confirmation of this type I hypersensitivity response. Question 7 A patient with an autoimmune disorder says, “I don’t know why this happened to me. I try to exercise and eat well.” How should the nurse respond? 1. “These disorders are usually associated with a vitamin deficiency.” 2. “These problems happen when your body misinterprets normal cells as being foreign and attempts to destroy them.” 3. “It happened because you were exposed to something repeatedly and then the body decided it needed to destroy it.” 4. “Chronic illnesses are the cause of autoimmune disorders.” Question 8 The blood sample from a patient’s bone marrow biopsy included Auer rods. The nurse would prepare to provide care for which disorder? 1. Acute myelogenous leukemia 2. Chronic myelogenous leukemia 3. Acute lymphocytic leukemia 4. Chronic lymphocytic leukemia Question 9 A patient with leukemia begins to have seizures. The nurse realizes that the onset of seizure activity is most likely associated with which occurrence? 1. The patient’s hemodynamic instability has decreased cerebral perfusion. 2. Malignant cells have infiltrated into the central nervous system. 3. Pancytopenia is occurring. 4. Expansion of malignant cells has started. Question 10 A patient with acute myelogenous leukemia is scheduled for a hematopoietic stem-cell transplant (HSCT). How would the nurse categorize this patient’s treatment goal? 1. Remission from the disease for at least 5 years 2. Prolongation of the chronic phase of the disease for at least 10 years 3. To affect cure 4. To shorten the acute phase of the disease