A patient has been found to have an indolent neoplasm. The nurse should recognize what implication of this condition?

Correct Answer: A

Rationale: The correct answer is A because an indolent neoplasm typically grows slowly and is less likely to metastasize quickly, reducing the risk of malignancy. Choice B and C are incorrect as they refer to specific types of leukemia, not necessarily related to indolent neoplasms. Choice D is incorrect as hemophilia is a genetic disorder unrelated to neoplasms. In summary, the key implication of an indolent neoplasm is a lower risk of malignancy compared to aggressive neoplasms.

Correct Answer: C

Rationale: Step 1: Megaloblastic anemia is typically caused by a deficiency in Vitamin B12. Step 2: Vitamin B12 is essential for the production of red blood cells and DNA synthesis. Step 3: Symptoms of Vitamin B12 deficiency include anemia, fatigue, weakness, and neurological issues. Step 4: Assessing for indications of Vitamin B12 deficiency is crucial for managing megaloblastic anemia. Summary: - Choice A (Vitamin C) is incorrect as it is not directly associated with megaloblastic anemia. - Choice B (Vitamin K) is incorrect as it is primarily involved in blood clotting, not red blood cell synthesis. - Choice D (Vitamin D) is incorrect as it is related to bone health and not directly linked to megaloblastic anemia.

Correct Answer: D

Rationale: The correct answer is D: Dietary modifications. Warfarin interacts with vitamin K in the diet, so maintaining consistent levels of vitamin K intake is crucial for the effectiveness of the drug. The nurse should educate the client to consume a consistent amount of foods rich in vitamin K to ensure the warfarin dosage remains effective. Sleep modifications (A), fluid modifications (B), and driving modifications (C) are not directly related to the effectiveness of warfarin. Therefore, they are not the appropriate topics to include in the client education plan.

Correct Answer: D

Rationale: The correct answer is D: Deferoxamine. Deferoxamine is an iron chelator that binds to excess iron in the body and helps facilitate its excretion. In cases of iron toxicity, Deferoxamine is the treatment of choice as it helps remove the excess iron from the body. A: Flumazenil is a benzodiazepine receptor antagonist used to reverse benzodiazepine overdose. B: Acetylcysteine is used to treat acetaminophen overdose by replenishing glutathione stores. C: Naloxone is an opioid receptor antagonist used to reverse opioid overdose. In summary, the other choices are incorrect because they are used to treat overdoses of benzodiazepines, acetaminophen, and opioids respectively, not iron toxicity.

Correct Answer: B

Rationale: The correct answer is B: Increase in cytoplasm relative to the nucleus. In reactive states, lymphocytes undergo activation and proliferation, leading to an increase in cytoplasm as they synthesize proteins and organelles for cell division. This change is a characteristic feature of lympho-morphologic alterations in reactive states. A: Decrease in cytoplasm relative to the nucleus is incorrect because lymphocytes need to increase their cytoplasmic volume during activation. C: Increase in nucleus relative to the cytoplasm is incorrect as lymphocytes typically increase their cytoplasmic volume during proliferation. D: Decrease in size is incorrect because lymphocytes typically enlarge during activation and proliferation.