A patient who has malignant cancer secondary to a high-grade lymphoma has been admitted with muscle weakness, tetany, paresthesia, and convulsion.
The nurse notices the patient is being treated for tumor lysis syndrome (TLS) and initial treatment has not been successful. What should the nurse tell the family is the next step in treatment?
a.
Whole blood transfusion
b.
A bone marrow biopsy
c.
Immediate radiation treatment
d.
Dialysis
Question 2The HIV-infected patient who has just seroconverted says he just cannot take all those confusing, expensive antiretroviral (ART) medications. He says he still feels fine, anyway. What should the nurse keep in mind when counseling this patient?
a. Resumption of the ART later in the disease is just as effective
b. Adherence to the ART protocol is essential to the success of the treatment
c. Cessation of the ART may prevent the emergence of a resistant strain of HIV
d. Once ART is initiated it cannot be restarted in the same patient
Question 3The patient receiving radiation therapy complains of the conspicuous markings on the skin. What can the nurse explain about these markings?
a. They are residues of the treatment and can be washed off.
b. They are caused by radiation and will fade in time.
c. They are indicators of the amount of radiation the patient is receiving.
d. They are gridlines for treatment and should be left on.
Question 4The depressed patient with AIDS says, I don't understand why I am going to be getting doses of testosterone. What good will that do me now? What should the nurse keep in mind about testosterone when responding?
a. It can lower viral load
b. It can lighten depression
c. It can increase lean body mass
d. It can increase appetite
Question 5Why are snacks high in potassium, such as bananas and apricot nectar, recommended?
a. Electrolytes are lost through diaphoresis.
b. Sodium is lost through frequent diarrhea. c.
Potassium will support weight gain.
d. Potassium helps fight infection.
Question 6After what period of time would the home health nurse make a mental health appointment for a patient with an HIV infection after assessing a diminished ability to attend to daily functioning?
a. 1 week
b. 2 weeks
c. 3 weeks
d. 1 month
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