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Practice Question

Which initial assessment findings would the nurse expect in a client diagnosed with acute lymphocytic leukemia (ALL)? (SELECT ALL THAT APPLY)

Answer Choices:

Correct Answer:

Generalized edema

Rationale:

Generalized Edema

💠 ALL often leads to bone marrow suppression, causing low albumin levels, which results in fluid shifts and edema.

💠 It also impairs immune and clotting functions, predisposing to fluid imbalance and edematous states.

Epistaxis

💠 Clients with ALL have low platelet counts (thrombocytopenia), making them prone to spontaneous bleeding, including nosebleeds.

💠 Epistaxis is an early sign of hematologic compromise in leukemia.

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This question is from RN ATI MedSurg~300 Final Exam which contains 71 questions.

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Answer Choices:

A. Notify the primary care provides with increased urine output
B. Assess daily for redness. swelling or exudate at insertion site weekly
C. The primary care provider will monitor hemoglobin and a hematocrit values
D. To maintain patency, the catheter should be flushed weekly using a 5 ml syringe
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A. Hypertension treated with medications
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C. Use of intravenous substances
D. Stroke diagnosed one year ago
The client Is in the intensive care unit on a ventilator. Which intervention(s) should the nurse implement? (SELECT ALL THAT APPLY)

Answer Choices:

A. Assess the respiratory status hourly and as needed
B. Ensure that a manual resuscitation bag is at the bedside
C. Check the patient's pulse co once every shift
D. Adjust the ventilator settings based on the client's level of consciousness
E. Collaborate frequently with the respiratory therapist
From Exam
RN ATI MedSurg~300 Final Exam

71 Questions

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Question Details
  • Category: RN Nursing Exam(s)
  • Subcategory: ATI Exam(s)
  • Domain: RN ATI MedSurg
  • Answer Choices: 4
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