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?

Correct Answer: D

Rationale: The correct answer is D: ALL (Acute Lymphoblastic Leukemia). In this scenario, the patient presents with symptoms of headaches, vomiting, testicular pain, and abnormal blood work showing reduced platelets, leukocytes, and erythrocytes with a high proportion of immature cells. These findings are characteristic of ALL, a type of leukemia that primarily affects lymphoid cells. The combination of symptoms and blood work results suggests a rapid and aggressive proliferation of immature lymphoid cells, leading to bone marrow failure and symptoms such as anemia, thrombocytopenia, and leukopenia. AML (choice A) primarily affects myeloid cells, not lymphoid cells. CML (choice B) typically presents with elevated leukocyte count and presence of the Philadelphia chromosome. MDS (choice C) is a group of disorders characterized by ineffective hematopoiesis leading to cytopenias, but does not typically present with the rapid onset of symptoms seen in this case

Correct Answer: A

Rationale: The correct answer is A: The importance of adhering to the prescribed drug regimen. This is crucial in managing chronic myeloid leukemia effectively. Medication adherence is essential to control the disease and prevent complications. Skipping doses can lead to treatment failure or drug resistance. B: While vaccinations are important, they are not the top priority in managing chronic myeloid leukemia. C: Daily physical activity is beneficial for overall health but is not the primary concern in this case. D: Avoiding shellfish and raw foods is not a key aspect of managing chronic myeloid leukemia.

Correct Answer: C

Rationale: Rationale for Choice C (Correct Answer): Assessing the patient's specific needs for education and support is crucial in meeting the psychosocial needs of a patient diagnosed with acute lymphocytic leukemia. By understanding the patient's informational and emotional needs, the nurse can provide tailored support and resources, enhancing the patient's coping abilities and overall well-being. This approach fosters a therapeutic relationship and promotes patient-centered care. Summary of Other Choices: A: Assessing the patient's previous experience with the health care system is important but may not directly address the immediate psychosocial needs related to the new diagnosis. B: Reassuring the patient about treatment success is premature and may invalidate the patient's feelings of distress and uncertainty. D: Identifying the patient's plan of medical care is essential but focuses more on the medical aspect rather than the psychosocial aspect of care.

Correct Answer: D

Rationale: The correct answer is D: Constipation. Ferrous sulfate, an iron supplement, commonly causes constipation due to its effects on the digestive system. Iron slows down bowel movements, leading to constipation. Monitoring for constipation is crucial to ensure the client's comfort and prevent complications. Phlebitis (choice A) is not a common adverse effect of ferrous sulfate administration. Dark, tarry stools (choice B) can indicate gastrointestinal bleeding but are not directly related to iron supplementation. Orange-colored stools (choice C) are not a typical side effect of ferrous sulfate and are more commonly associated with certain foods or medications.

Correct Answer: A

Rationale: The correct answer is A: Eat iron-enriched foods. Iron-enriched foods help increase iron levels in the body, aiding in treating iron deficiency anemia. Consuming these foods along with ferrous sulfate can enhance the effectiveness of the treatment. B: Spreading the dosage across each day is important to maintain consistent iron levels but is not the most crucial aspect of treatment. C: Taking the drug on an empty stomach may enhance absorption but can also lead to stomach upset, so it is not necessary for all clients. D: Reporting dark green or black stools is important to monitor for gastrointestinal bleeding, but it is not an instruction related to taking ferrous sulfate.