Class notes
NUR 3125 Leukemia QA Notes
- Course
- NUR 3125
- Institution
- Florida Southwestern State College
This is a comprehensive and detailed question and answers notes on Leukemia for Nur 3125. *Essential Study Material!!
[Show more]
Content preview
Exemplar 2.5 Leukemia1) A pediatric client is receiving chemotherapy for acute lymphocytic leukemia. The nurse
recognizes that a potential oncological emergency for this client would be tumor lysis syndrome.
For which manifestations should the nurse monitor this client?
Select all that apply.
A) Thrombocytopenia
B) Altered levels of consciousness
C) Respiratory distress
D) Oliguria
E) Upper-extremity edema
Answer: B, D
Explanation: A) Tumor lysis causes a metabolic emergency. Because of electrolyte imbalance,
the signs can be oliguria and altered levels of consciousness. Thrombocytopenia occurs with a
hematological emergency. Space-occupying lesions can cause respiratory distress and upper-
extremity edema.
B) Tumor lysis causes a metabolic emergency. Because of electrolyte imbalance, the signs can be
oliguria and altered levels of consciousness. Thrombocytopenia occurs with a hematological
emergency. Space-occupying lesions can cause respiratory distress and upper-extremity edema.
C) Tumor lysis causes a metabolic emergency. Because of electrolyte imbalance, the signs can be
oliguria and altered levels of consciousness. Thrombocytopenia occurs with a hematological
emergency. Space-occupying lesions can cause respiratory distress and upper-extremity edema.
D) Tumor lysis causes a metabolic emergency. Because of electrolyte imbalance, the signs can be
oliguria and altered levels of consciousness. Thrombocytopenia occurs with a hematological
emergency. Space-occupying lesions can cause respiratory distress and upper-extremity edema.
E) Tumor lysis causes a metabolic emergency. Because of electrolyte imbalance, the signs can be
oliguria and altered levels of consciousness. Thrombocytopenia occurs with a hematological
emergency. Space-occupying lesions can cause respiratory distress and upper-extremity edema.
Page Ref: 101
Cognitive Level: Applying
Client Need: Physiological Integrity
Nursing Process: Assessment
Learning Outcome: 6. Plan evidence-based care for an individual with leukemia and his or her
family in collaboration with other members of the healthcare team.
,2) A 51-year-old client reports to the nurse an inability to tolerate usual exercise and the feeling
of fatigue. The client states that these symptoms have been gradual over time. Which physical
assessment findings, along with the client's verbal complaints, would indicate chronic
lymphocytic leukemia (CML)?
Select all that apply.
A) Joint pain
B) Pallor
C) Splenomegaly
D) Abnormal bleeding
E) Edema
Answer: B, C, E
Explanation: A) The symptoms for CML are insidious and occur over time, affecting older
adults. The client may exhibit splenomegaly, pallor, edema, and lymphadenopathy. Bone and
joint pain with abnormal bleeding are characteristics of AML, which also occurs in older clients.
B) The symptoms for CML are insidious and occur over time, affecting older adults. The client
may exhibit splenomegaly, pallor, edema, and lymphadenopathy. Bone and joint pain with
abnormal bleeding are characteristics of AML, which also occurs in older clients.
C) The symptoms for CML are insidious and occur over time, affecting older adults. The client
may exhibit splenomegaly, pallor, edema, and lymphadenopathy. Bone and joint pain with
abnormal bleeding are characteristics of AML, which also occurs in older clients.
D) The symptoms for CML are insidious and occur over time, affecting older adults. The client
may exhibit splenomegaly, pallor, edema, and lymphadenopathy. Bone and joint pain with
abnormal bleeding are characteristics of AML, which also occurs in older clients.
E) The symptoms for CML are insidious and occur over time, affecting older adults. The client
may exhibit splenomegaly, pallor, edema, and lymphadenopathy. Bone and joint pain with
abnormal bleeding are characteristics of AML, which also occurs in older clients.
Page Ref: 93
Cognitive Level: Analyzing
Client Need: Physiological Integrity
Nursing Process: Assessment
Learning Outcome: 1. Describe the pathophysiology, etiology, clinical manifestations, and direct
and indirect causes of leukemia.
, 3) The nurse is teaching a class at a local community center about decreasing risk factors for
cancer. Which risk factors should the nurse include in the teaching regarding leukemia?
Select all that apply.
A) Alkylating agents
B) Diets low in fat
C) Exposure to infectious agents
D) Bloom syndrome
E) Decreased exercise
Answer: A, C, D
Explanation: A) A higher incidence of leukemia associated with chromosomal defects such as
Bloom syndrome, exposure to infectious agents, and chemical agents used to treat previous
cancer, such as alkylating agents. Low-fat diets are not a risk factor for leukemia, and neither is
lack of exercise.
B) A higher incidence of leukemia associated with chromosomal defects such as Bloom
syndrome, exposure to infectious agents, and chemical agents used to treat previous cancer, such
as alkylating agents. Low-fat diets are not a risk factor for leukemia, and neither is lack of
exercise.
C) A higher incidence of leukemia associated with chromosomal defects such as Bloom
syndrome, exposure to infectious agents, and chemical agents used to treat previous cancer, such
as alkylating agents. Low-fat diets are not a risk factor for leukemia, and neither is lack of
exercise.
D) A higher incidence of leukemia associated with chromosomal defects such as Bloom
syndrome, exposure to infectious agents, and chemical agents used to treat previous cancer, such
as alkylating agents. Low-fat diets are not a risk factor for leukemia, and neither is lack of
exercise.
E) A higher incidence of leukemia associated with chromosomal defects such as Bloom
syndrome, exposure to infectious agents, and chemical agents used to treat previous cancer, such
as alkylating agents. Low-fat diets are not a risk factor for leukemia, and neither is lack of
exercise.
Page Ref: 95
Cognitive Level: Applying
Client Need: Health Promotion and Maintenance
Nursing Process: Implementation
Learning Outcome: 2. Identify risk factors and prevention methods associated with leukemia.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller anyiamgeorge19. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $12.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
67474 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now