Transferring patient with CML to LTC. Most important info for LTC nurse?

Correct Answer: D

Rationale: The correct answer is D because neutropenia (low neutrophil count) from chemotherapy puts the patient at high risk for infections. This information is crucial for the LTC nurse to monitor the patient closely, implement infection control measures, and promptly recognize and manage any signs of infection to prevent complications. Choices A, B, and C are less relevant in the context of patient safety and immediate care needs compared to neutropenia. A: Philadelphia chromosome is important for diagnosis but does not impact immediate care in LTC. B: Elevated glucose may require monitoring but is not as urgent as neutropenia. C: Weight loss is concerning but not as immediately life-threatening as neutropenia.

Correct Answer: D

Rationale: The correct answer is D, Rituximab + CHOP, for advanced diffuse large B-cell lymphoma due to proven efficacy in clinical trials. Rituximab targets CD20 on B-cells, enhancing CHOP's effectiveness. A: m-BACOD and B: PROMACE-CytaBOM are outdated regimens. C: CHOP alone lacks the benefit of rituximab's targeted therapy.

Correct Answer: A

Rationale: The correct answer is A: Chronic atrophic gastritis. This condition leads to vitamin B12 deficiency, causing macrocytic anemia, weakness, and tingling. Chronic atrophic gastritis affects the stomach's ability to produce intrinsic factor needed for B12 absorption. Ileal resection impairs B12 absorption, tapeworm infestation competes for B12, and alcoholism can lead to poor diet and malabsorption, all contributing to macrocytic anemia.

Correct Answer: A

Rationale: The correct answer is A because t(c-myc) in Burkitt's lymphoma is actually a translocation between chromosome 8 and 14 or less commonly 8 and 22. This translocation leads to the overexpression of c-myc oncogene. Choice B is correct as Burkitt's lymphoma often presents with abdominal involvement in HIV patients. Choice C is true as the characteristic "starry sky" appearance is due to the high number of macrophages engulfing apoptotic lymphoma cells. Choice D is also true, as cyclophosphamide is a common chemotherapy drug used to treat Burkitt's lymphoma.

Correct Answer: B

Rationale: The correct answer is B: Reticulocytes. Reticulocytes are immature red blood cells released by the bone marrow into the bloodstream during erythropoiesis. They still contain remnants of ribosomal RNA, giving them a reticulated appearance under a microscope. Myelocytes (A) are immature white blood cells, not involved in erythropoiesis. Ring sideroblasts (C) are found in the bone marrow in certain types of anemia, not a direct sign of erythropoiesis. Target cells (D) are red blood cells with a target-like appearance due to excess membrane, not specific to erythropoiesis.