Dunphy Chapter 17 Hematological and
Immune Problems 2025 COMPREHENSIVE
QUESTIONS AND 100% CORRECT ANSWER
GRADED A+/ GUARANTEED SUCCESS SURE
PASS
Some pharmacological adjuncts to analgesics in clients with uncontrolled cancer pain include
A. Anticonvulsants and tricyclic antidepressants
B. Anticonvulsants, tricyclic antidepressants, and corticosteroids
C. Selective serotonin receptor inhibitors
D. Benzodiazepines
B. Anticonvulsants, tricyclic antidepressants, and corticosteroids
- Pain that is poorly controlled with opioids and NSAIDs is often neuropathic in nature, meaning that it is
a result of direct nerve injury, such as nerve compression
Multiple myeloma is a plasma cell malignancy in which the bone marrow is replaced, and there is bone
destruction and paraprotein formation. Myeloma is a disease of older adults overall (median age at
presentation, 65 years). Common presenting symptoms include
A. Nausea and vomiting and chronic cough
B. Fatigue and splenomegaly
C. Lower back pain and hypercalcemia
D. Nausea and vomiting and fatigue
C. Lower back pain and hypercalcemia
,- Bone pain is a common presenting symptom, most frequently manifested as low back pain or pain in
the rib, and may present as a pathological fracture, especially in the femoral neck. Hypercalcemia is
often present related to the leakage of calcium occurring from bone destruction.
Maria asks if being overweight predisposes her to cancer. How do you respond?
A. "No, you have the came risk as a normal-weight individual."
B. "You have less of a risk of cancer than normal-weight individuals because you have protein stores to
combat mutant cells."
C. "Yes, you have an increased risk of hormone-dependent cancers because of your obesity."
D. "Yes, you have an increased risk because you have many more cells in all the organs of your body."
C. "Yes, you have an increased risk of hormone-dependent cancers because of your obesity."
- Because of excessive body fat. Sex hormones are synthesized from fat, and obese people have
excessive amounts of the hormones that feed hormone-dependent malignancies such as cancer of the
breast, bowel, ovary, endometrium, and prostate.
Select a statement that is true about the erythrocyte sedimentation rate (ESR).
A. It is a very specific indicator of inflammation
B. A rise in the ESR is a normal part of aging
C. It is useful in detecting pancreatic cancer
D. It is diagnostic for rheumatoid arthritis
B. A rise in the ESR is a normal part of aging
- The ESR is a very nonspecific indicator of inflammation and is often elevated in inflammatory
musculoskeletal conditions; it is not, however, diagnostic for rheumatoid arthritis.
Fecal occult blood testing (FOBT) is most effective in identifying
A. Cancers in the right colon
,B. Polyps
C. Cancers in the sigmoid colon
D. Cancers in the transverse colon
C. Cancers in the sigmoid colon
What is the mechanism of action of steroid hormones in cancer chemotherapy?
A. They interfere with DNA or RNA synthesis
B. They interfere with DNA replication by attacking DNA synthesis throughout the cell cycle
C. They inhibit protein synthesis
D. They alter the host environment for cell growth
D. They alter the host environment for cell growth
Macrocytic normochromic anemias are caused by
A. Acute blood loss
B. An infection or tumor
C. A nutritional deficiency of iron
D. A deficiency of folic acid
D. A deficiency of folic acid
- Cell size is large and irregular.
Which type of leukemia produces symptoms with an insidious onset including weakness, fatigue,
massive lymphadenopathy, pruritic vesicular skin lesions, anemia, and thrombocytopenia?
A. Acute lymphocytic leukemia
, B. Acute myelogenous leukemia
C. Chronic lymphocytic leukemia
D. Chronic myelogenous leukemia
C. Chronic lymphocytic leukemia
A client with HIV infection has a fever of unknown origin (FUO). Which of the following is a possible
cause of an FUO in a client with HIV?
A. Drug fever
B. Upper respiratory infection
C. Nothing specific; this is a systemic disease manifestation
D. Urinary tract infection
A. Drug fever
- A fever of unknown origin in clients with HIV is defined as temperature > 101 on multiple occasions
over 4 weeks duration in an outpatient and 3 weeks duration in an inpatient, with an uncertain diagnosis
after three appropriate investigations of cultures and the like.
Which of the following increases the risk of pancreatic cancer?
A. A high-carbohydrate diet
B. Cigarette smoking, diabetes, and a high-fat diet
C. Diabetes and lack of activity
D. Yo-yo dieting
B. Cigarette smoking, diabetes, and a high-fat diet
We have an expert-written solution to this problem!
Immune Problems 2025 COMPREHENSIVE
QUESTIONS AND 100% CORRECT ANSWER
GRADED A+/ GUARANTEED SUCCESS SURE
PASS
Some pharmacological adjuncts to analgesics in clients with uncontrolled cancer pain include
A. Anticonvulsants and tricyclic antidepressants
B. Anticonvulsants, tricyclic antidepressants, and corticosteroids
C. Selective serotonin receptor inhibitors
D. Benzodiazepines
B. Anticonvulsants, tricyclic antidepressants, and corticosteroids
- Pain that is poorly controlled with opioids and NSAIDs is often neuropathic in nature, meaning that it is
a result of direct nerve injury, such as nerve compression
Multiple myeloma is a plasma cell malignancy in which the bone marrow is replaced, and there is bone
destruction and paraprotein formation. Myeloma is a disease of older adults overall (median age at
presentation, 65 years). Common presenting symptoms include
A. Nausea and vomiting and chronic cough
B. Fatigue and splenomegaly
C. Lower back pain and hypercalcemia
D. Nausea and vomiting and fatigue
C. Lower back pain and hypercalcemia
,- Bone pain is a common presenting symptom, most frequently manifested as low back pain or pain in
the rib, and may present as a pathological fracture, especially in the femoral neck. Hypercalcemia is
often present related to the leakage of calcium occurring from bone destruction.
Maria asks if being overweight predisposes her to cancer. How do you respond?
A. "No, you have the came risk as a normal-weight individual."
B. "You have less of a risk of cancer than normal-weight individuals because you have protein stores to
combat mutant cells."
C. "Yes, you have an increased risk of hormone-dependent cancers because of your obesity."
D. "Yes, you have an increased risk because you have many more cells in all the organs of your body."
C. "Yes, you have an increased risk of hormone-dependent cancers because of your obesity."
- Because of excessive body fat. Sex hormones are synthesized from fat, and obese people have
excessive amounts of the hormones that feed hormone-dependent malignancies such as cancer of the
breast, bowel, ovary, endometrium, and prostate.
Select a statement that is true about the erythrocyte sedimentation rate (ESR).
A. It is a very specific indicator of inflammation
B. A rise in the ESR is a normal part of aging
C. It is useful in detecting pancreatic cancer
D. It is diagnostic for rheumatoid arthritis
B. A rise in the ESR is a normal part of aging
- The ESR is a very nonspecific indicator of inflammation and is often elevated in inflammatory
musculoskeletal conditions; it is not, however, diagnostic for rheumatoid arthritis.
Fecal occult blood testing (FOBT) is most effective in identifying
A. Cancers in the right colon
,B. Polyps
C. Cancers in the sigmoid colon
D. Cancers in the transverse colon
C. Cancers in the sigmoid colon
What is the mechanism of action of steroid hormones in cancer chemotherapy?
A. They interfere with DNA or RNA synthesis
B. They interfere with DNA replication by attacking DNA synthesis throughout the cell cycle
C. They inhibit protein synthesis
D. They alter the host environment for cell growth
D. They alter the host environment for cell growth
Macrocytic normochromic anemias are caused by
A. Acute blood loss
B. An infection or tumor
C. A nutritional deficiency of iron
D. A deficiency of folic acid
D. A deficiency of folic acid
- Cell size is large and irregular.
Which type of leukemia produces symptoms with an insidious onset including weakness, fatigue,
massive lymphadenopathy, pruritic vesicular skin lesions, anemia, and thrombocytopenia?
A. Acute lymphocytic leukemia
, B. Acute myelogenous leukemia
C. Chronic lymphocytic leukemia
D. Chronic myelogenous leukemia
C. Chronic lymphocytic leukemia
A client with HIV infection has a fever of unknown origin (FUO). Which of the following is a possible
cause of an FUO in a client with HIV?
A. Drug fever
B. Upper respiratory infection
C. Nothing specific; this is a systemic disease manifestation
D. Urinary tract infection
A. Drug fever
- A fever of unknown origin in clients with HIV is defined as temperature > 101 on multiple occasions
over 4 weeks duration in an outpatient and 3 weeks duration in an inpatient, with an uncertain diagnosis
after three appropriate investigations of cultures and the like.
Which of the following increases the risk of pancreatic cancer?
A. A high-carbohydrate diet
B. Cigarette smoking, diabetes, and a high-fat diet
C. Diabetes and lack of activity
D. Yo-yo dieting
B. Cigarette smoking, diabetes, and a high-fat diet
We have an expert-written solution to this problem!
