correct verified detailed answers 2025/2026
A 77-year-old male is admitted to a unit with a suspected diagnosis
of acute myeloid leukemia (AML). When planning this patient's care,
the nurse should be aware of what epidemiologic fact?
A) Early diagnosis is associated with good outcomes.
B) Five-year survival for older adults is approximately 50%.
C) Five-year survival for patients over 75 years old is less than 2%.
D) Survival rates are wholly dependent on the patient's pre-illness
level of health. -Answer:-C
Feedback:
The 5-year survival rate for patients with AML who are 50 years of
age or younger is 43%; it drops to 19% for those between 50 and 64
,years, and drops to1.6% for those older than 75 years. Early
diagnosis is beneficial, but is nonetheless not associated with good
outcomes or high survival rates. Preillness health is significant, but
not the most important variable.
A 35-year-old male is admitted to the hospital complaining of severe
headaches, vomiting, and testicular pain. His blood work shows
reduced numbers of platelets, leukocytes, and erythrocytes, with a
high proportion of immature cells. The nurse caring for this patient
suspects a diagnosis of what?
A) AML
B) CML
C) MDS
D) ALL -Answer:-D
,Feedback:
In acute lymphocytic leukemia (ALL), manifestations of leukemic
cell infiltration into other organs are more common than with other
forms of leukemia, and include pain from an enlarged liver or
spleen, as well as bone pain. The central nervous system is
frequently a site for leukemic cells; thus, patients may exhibit
headache and vomiting because of meningeal involvement. Other
extranodal sites include the testes and breasts. This particular
presentation is not closely associated with acute myeloid leukemia
(AML), chronic myeloid leukemia (CML), or myelodysplastic
syndromes (MDS).
A patient with leukemia has developed stomatitis and is
experiencing a nutritional deficit. An oral anesthetic has
consequently been prescribed. What health education should the
nurse provide to the patient?
A) Chew with care to avoid inadvertently biting the tongue.
B) Use the oral anesthetic 1 hour prior to meal time.
, C) Brush teeth before and after eating.
D) Swallow slowly and deliberately. -Answer:-A
Feedback:
If oral anesthetics are used, the patient must be warned to chew
with extreme care to avoid inadvertently biting the tongue or buccal
mucosa. An oral anesthetic would be metabolized by the time the
patient eats if it is used 1 hour prior to meals. There is no specific
need to warn the patient about brushing teeth or swallowing slowly
because an oral anesthetic has been used.
A patient diagnosed with acute myelogenous leukemia has just been
admitted to the oncology unit. When writing this patient's care plan,
what potential complication should the nurse address?
A) Pancreatitis