Brunner & Suddarth's Textbook of
Medical-Surgical Nursing Chapter 34
Management of Patients With
Hematologic Neoplasms LATEST
VERIFIED VERSION OF {2026-2027}
EXAM With Expected real and
comprehensive Questions With Well
Elaborated Correct Answers GRADED
A+
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,An oncology nurse is providing health education for a patient 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. - correct
ans:Ans: A
Feedback:
Leukemia commonly involves unregulated proliferation of white blood cells. Decreased production of
red blood cells is associated with anemias. Decreased production of white blood cells is associated with
leukopenia. The leukemias are not characterized by their involvement with the lymphatic system.
A nurse is caring for a patient who has a diagnosis of acute leukemia. What assessment most directly
addresses the most common cause of death among patients with leukemia?
A) Monitoring for infection
B) Monitoring nutritional status
C) Monitor electrolyte levels
D) Monitoring liver function - correct ans:Ans: A
Feedback:
In patients with acute leukemia, death typically occurs from infection or bleeding. Compromised
nutrition, electrolyte imbalances, and impaired liver function are all plausible, but none is among the
most common causes of death in this patient population.
3. An oncology nurse is caring for a patient with multiple myeloma who is experiencing bone
destruction. When reviewing the patients most recent blood tests, the nurse should anticipate what
imbalance?
, A) Hypercalcemia
B) Hyperproteinemia
C) Elevated serum viscosity
D) Elevated RBC count - correct ans:Ans: A
Feedback:
Hypercalcemia may result when bone destruction occurs due to the disease process. Elevated serum
viscosity occurs because plasma cells excrete excess immunoglobulin. RBC count will be decreased.
Hyperproteinemia would not be present.
4. A nurse is planning the care of a patient who has been admitted to the medical unit with a diagnosis
of multiple myeloma. In the patients care plan, the nurse has identified a diagnosis of Risk for Injury.
What pathophysiologic effect of multiple myeloma most contributes to this risk?
A) Labyrinthitis
B) Left ventricular hypertrophy
C) Decreased bone density
D) Hypercoagulation - correct ans:Ans: C
Feedback:
Clients with multiple myeloma are at risk for pathologic bone fractures secondary to diffuse
osteoporosis and osteolytic lesions. Labyrinthitis is uncharacteristic, and patients do not normally
experience hypercoagulation or cardiac hypertrophy.
5. A patient with advanced leukemia is responding poorly to treatment. The nurse finds the patient
tearful and trying to express his feelings, but he is clearly having difficulty. What is the nurses most
appropriate action?
A) Tell him that you will give him privacy and leave the room.
B) Offer to call pastoral care.
C) Ask if he would like you to sit with him while he collects his thoughts.
Medical-Surgical Nursing Chapter 34
Management of Patients With
Hematologic Neoplasms LATEST
VERIFIED VERSION OF {2026-2027}
EXAM With Expected real and
comprehensive Questions With Well
Elaborated Correct Answers GRADED
A+
Professional Academic Assistance Services
Services Offered
Proctored Exam Assistance
Online Class Management (Full Course Support)
Exam Preparation & Study Materials
Assignments and Coursework Support
Essays and Research Papers
Discussion Posts and Replies
,An oncology nurse is providing health education for a patient 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. - correct
ans:Ans: A
Feedback:
Leukemia commonly involves unregulated proliferation of white blood cells. Decreased production of
red blood cells is associated with anemias. Decreased production of white blood cells is associated with
leukopenia. The leukemias are not characterized by their involvement with the lymphatic system.
A nurse is caring for a patient who has a diagnosis of acute leukemia. What assessment most directly
addresses the most common cause of death among patients with leukemia?
A) Monitoring for infection
B) Monitoring nutritional status
C) Monitor electrolyte levels
D) Monitoring liver function - correct ans:Ans: A
Feedback:
In patients with acute leukemia, death typically occurs from infection or bleeding. Compromised
nutrition, electrolyte imbalances, and impaired liver function are all plausible, but none is among the
most common causes of death in this patient population.
3. An oncology nurse is caring for a patient with multiple myeloma who is experiencing bone
destruction. When reviewing the patients most recent blood tests, the nurse should anticipate what
imbalance?
, A) Hypercalcemia
B) Hyperproteinemia
C) Elevated serum viscosity
D) Elevated RBC count - correct ans:Ans: A
Feedback:
Hypercalcemia may result when bone destruction occurs due to the disease process. Elevated serum
viscosity occurs because plasma cells excrete excess immunoglobulin. RBC count will be decreased.
Hyperproteinemia would not be present.
4. A nurse is planning the care of a patient who has been admitted to the medical unit with a diagnosis
of multiple myeloma. In the patients care plan, the nurse has identified a diagnosis of Risk for Injury.
What pathophysiologic effect of multiple myeloma most contributes to this risk?
A) Labyrinthitis
B) Left ventricular hypertrophy
C) Decreased bone density
D) Hypercoagulation - correct ans:Ans: C
Feedback:
Clients with multiple myeloma are at risk for pathologic bone fractures secondary to diffuse
osteoporosis and osteolytic lesions. Labyrinthitis is uncharacteristic, and patients do not normally
experience hypercoagulation or cardiac hypertrophy.
5. A patient with advanced leukemia is responding poorly to treatment. The nurse finds the patient
tearful and trying to express his feelings, but he is clearly having difficulty. What is the nurses most
appropriate action?
A) Tell him that you will give him privacy and leave the room.
B) Offer to call pastoral care.
C) Ask if he would like you to sit with him while he collects his thoughts.
