ATI RN · ATI Medical Surgical · ATI Hematologic System Quizlet
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Showing all 5 practice questions with expert explanatory rationales.
A female infant is diagnosed with hemophagocytic lymphohistiocytosis (HLH) not associated with an Epstein-Barr virus (EBV) infection. In taking the family history, you learn that another female infant died of HLH 2 years ago. Also, a newborn female child died of an unknown disease 4 years prior and was said have been bleeding profusely, jaundiced, and had a distended abdomen. When counseling the family about the genetics of HLH, how will you explain it?
Expert Explanatory Rationale
Correct Answer: It is an autosomal recessive syndrome
The pathophysiology of venous thrombosis is often explained by Virchow's triad, which includes hypercoagulability, endothelial injury, and venous stasis. Based on Virchow's triad and your knowledge of risk factors for thrombosis, which of the following pediatric patients has the greatest risk of hospital-acquired venous thromboembolism?
Expert Explanatory Rationale
Correct Answer: Ex-28 week premature infant, requiring NICU-level care for necrotizing enterocolitis
A home health nurse is caring for a patient with multiple myeloma. Which of the following interventions should the nurse prioritize when addressing the patient's severe bone pain?
Expert Explanatory Rationale
Correct Answer: Helping the patient manage the opioid analgesic regimen
Heparin is an anticoagulant produced by the basophils. The most likely mechanism heparin prevents blood clotting is by
Expert Explanatory Rationale
Correct Answer: Binding to antithrombin III to inactivate thrombin
A 12-year-old patient with localized osteosarcoma is being treated with cisplatin, doxorubicin, and high-dose methotrexate. The pain at his primary site rapidly resolves after initiation of chemotherapy. After tumor resection, pathology reveals the tumor was greater than 95% necrotic. You want to continue cisplatin, doxorubicin, and high-dose methotrexate. Which of the following is the best answer regarding the evaluations that should be performed to monitor for toxicity in patients receiving cisplatin, doxorubicin, and high-dose methotrexate?
Expert Explanatory Rationale
Correct Answer: Complete blood count, creatinine, serum magnesium, audiogram, and echocardiogram
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