A 63-year-old woman has been diagnosed with polycythemia vera (PV) after undergoing a series of diagnostic tests. When the woman's nurse is providing health education, what subject should the nurse prioritize?
A) Maintenance of long-term vascular access device
B) Nutritional modifications necessary for maintaining a low-iron diet
C) Strategies for managing activity
D) Lifestyle modifications and techniques for preventing thromboembolism
Question 2The clinic nurse is caring for a patient who has a longstanding diagnosis of HIV. The nurse has assessed that the patient is experiencing a progressive decline in cognitive, behavioral, and motor functions.
The nurse recognizes that these symptoms are most likely related to the onset of what?
A) HIV encephalopathy
B) B-cell lymphoma
C) Kaposi's syndrome
D) Wasting syndrome
Question 3A patient with megaloblastic anemia is being treated in an inpatient setting and has daily blood work ordered. This morning's blood work has become available, and the patient's hemoglobin and hematocrit are continuing to trend downward.
The nurse has contacted the patient's health care provider to determine whether the health care provider wants to order a transfusion of packed red blood cells (PRBCs). When considering the efficacy of this treatment the nurse should understand that:
A) A transfusion of PRBCs may have the potential to create fluid volume overload and pulmonary edema.
B) The patient's body is likely to destroy the transfused red cells soon after they are transfused.
C) The patient is deficient in oxygen-carrying capacity more than in the absolute number of RBCs.
D) The patient will require multiple transfusions over several days to achieve an increase in Hgb and Hct.
Question 4A nursing educator is discussing primary immunodeficiency diseases with a group of recent graduates. What would the educator tell the nurses about primary immunodeficiency diseases?
A) They need IVIG as treatment.
B) They are the result of infection.
C) Their origin is genetic.
D) They can be acquired spontaneously.
Question 5A 50-year-old woman recently sought care from her primary care provider and was diagnosed with hypoproliferative anemia following a diagnostic workup.
The nurse at the clinic has been charged with the responsibility for organizing the woman's care and is consequently creating a nursing care plan. When planning this woman's care, what nursing diagnosis should the nurse prioritize?
A) Decreased cardiac output
B) Risk for fatigue
C) Acute pain
D) Risk for hypothermia
Question 6A child with a severe nut allergy has just been brought to the emergency department (ED) in apparent anaphylaxis after accidentally eating peanut butter. What action should the ED nurse prioritize in the care of this patient?
A) Obtain a full set of vital signs.
B) Take measures to relieve the boy's anxiety.
C) Applying supplementary oxygen by simple face mask.
D) Protect the boy's airway.
Question 7A woman who has experienced severe seasonal allergies in recent years has been referred for allergy skin testing.
The nurse at the allergy clinic should be aware of the need to take precautions against the patient's risk of which of the following nursing diagnoses?
A) Nausea
B) Hopelessness
C) Acute pain
D) Impaired gas exchange
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