A nurse in an oncology unit is assessing a client who has early-stage Hodgkin’s lymphoma. Which of the following findings should the nurse expect?

Productive cough.

Bone and joint pain.

Intermittent hematuria.

Enlarged lymph nodes.

Answer and Explanation

The Correct Answer is D

Choice A rationale

A productive cough is not a typical finding in early-stage Hodgkin’s lymphoma. Respiratory symptoms are more commonly associated with other conditions.

Choice B rationale

Bone and joint pain are not typical findings in early-stage Hodgkin’s lymphoma. These symptoms are more commonly associated with other conditions such as metastatic cancer or rheumatoid arthritis.

Choice C rationale

Intermittent hematuria is not a typical finding in early-stage Hodgkin’s lymphoma. Hematuria is more commonly associated with urinary tract infections or kidney conditions.

Choice D rationale

Enlarged lymph nodes are a common finding in early-stage Hodgkin’s lymphoma. This condition is characterized by the presence of Reed-Sternberg cells in the lymph nodes, leading to their enlargement.

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Correct Answer is D

Explanation

Choice D rationale

Basal cell carcinoma often appears as a raised, flesh-colored lesion with pearly and waxy borders. It is the most common type of skin cancer and typically occurs in areas exposed to the sun.

Choice A rationale

Actinic keratosis is a precancerous condition that appears as rough, scaly patches on sun-exposed skin.

Choice B rationale

Malignant melanoma is a more aggressive form of skin cancer that often appears as a new, unusual growth or a change in an existing mole.

Choice C rationale

Squamous cell carcinoma typically appears as a firm, red nodule or a flat lesion with a scaly, crusted surface. .

A. CD4-T-cell count 180 cells/mm³. B. Positive Western blot test. C. Platelets 150,000/mm³. D. WBC 5,000/mm³.

Correct Answer is A

Explanation

Choice A rationale

A CD4-T-cell count of 180 cells/mm³ indicates severe immunosuppression in a client with HIV, making them highly susceptible to opportunistic infections. This is a critical value that requires immediate attention to prevent life-threatening complications.

Choice B rationale

A positive Western blot test confirms the presence of HIV antibodies but does not indicate the current immune status or the urgency of the client’s condition.

Choice C rationale

Platelets at 150,000/mm³ are within the normal range and do not indicate an immediate threat to the client’s health.

Choice D rationale

A WBC count of 5,000/mm³ is within the normal range and does not indicate an immediate threat to the client’s health.

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A nurse in an oncology unit is assessing a client who has early-stage Hodgkin’s lymphoma. Which of the following findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

During a routine physical examination, a nurse observes a 1-cm (0.4-in) lesion on a client’s chest. The lesion is raised and flesh-colored with pearly and waxy borders that are well defined. The nurse should recognize that this finding is suggestive of which of the following types of skin cancer?

Correct Answer is D

Explanation

A nurse is caring for a client who has HIV. Which of the following laboratory values is the nurse’s priority?

Correct Answer is A

Explanation

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