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Hematologic Neoplasm – Nursing Guide & Clinical Review for Students

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Comprehensive guide on Hematologic Neoplasms, including leukemia, lymphoma, myeloma, and related blood disorders. Covers pathophysiology, clinical presentation, diagnostic methods, treatment protocols, and high-yield nursing considerations. Designed for nursing and medical students to enhance clinical reasoning, exam preparation, and patient care skills. Perfect for Med-Surg rotations, NCLEX-style exam practice, and oncology-focused studies.

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HEMATOLOGIC NEOPLASM HEMATOLOGIC NEOPLASM 2026-03-04




An oncology nurse is providing health education for a client who has recently been diagnosed with leukemia. What should
the nurse explain about commonalities between all of the different subtypes of leukemia?
A. The different leukemias all involve unregulated proliferation of white blood cells.
B. The different leukemias all have unregulated proliferation of red blood cells and decreased bone marrow function.
C. The different leukemias all result in a decrease in the production of white blood cells.
D. The different leukemias all involve the development of cancer in the lymphatic system.


A


A nurse is caring for a client who has a diagnosis of acute myelocytic leukemia (AML). Assessment of which
factor most directly addresses the most common cause of death among clients with leukemia?
A. Infection status
B. Nutritional status
C. Electrolyte levels
D. Liver function


A


An oncology nurse is caring for a client with multiple myeloma who is experiencing bone destruction. When reviewing the
client's most recent blood tests, the nurse should anticipate which imbalance?
A. Hypercalcemia
B. Hyperproteinemia
C. Elevated serum viscosity
D. Elevated red blood count (RBC)


A



Page 1 HEMATOLOGIC NEOPLASM.pdf

, HEMATOLOGIC NEOPLASM HEMATOLOGIC NEOPLASM 2026-03-04



A nurse is planning the care of a client who has been admitted to the medical unit with a diagnosis of multiple myeloma. In
the client's care plan, the nurse has identified a diagnosis of Risk for Injury, which should be attributed to which factor?
A. Labyrinthitis
B. Left ventricular hypertrophy
C. Decreased bone density
D. Hypercoagulation


C


A client with a new diagnosis of leukemia is about to start treatment and expresses fear and anxiety with the prognosis.
Which action is the nurse's most appropriate?
A. Communicate to the health care provider the need to provide more information to the client and family.
B. Assess how much information is desired from the client in terms of illness, treatment, and complications.
C. Offer to call pastoral services and review hospice and/or palliative care so the client can have a quiet, dignified death.
D. Encourage the client to call their family and discuss immediate role restructuring in both their family and professional
life.


B


A nurse is caring for a client with acute myeloid leukemia who is preparing to undergo induction therapy. In preparing a plan
of care for this client, the nurse should assign the highest priority to which nursing diagnosis?
A. Activity intolerance
B. Risk for infection
C. Acute confusion
D. Risk for spiritual distress


B



Page 2 HEMATOLOGIC NEOPLASM.pdf

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