A nurse is assessing an adolescent client who has Hodgkin's lymphoma. Which of the following findings should the nurse expect?

Unexplained weight gain

Night sweats

Flushed skin

Decreased body temperature

Answer and Explanation

The Correct Answer is B

A. Unexplained weight gain is not a typical finding in Hodgkin's lymphoma. Weight loss is more commonly associated with this condition.

B. Night sweats are a common symptom of Hodgkin's lymphoma. They can be indicative of the body's response to the cancer.

C. Flushed skin is not typically associated with Hodgkin's lymphoma. Pallor or jaundice may be more commonly observed.

D. Decreased body temperature is not a typical finding in Hodgkin's lymphoma. Infection or fever may lead to an elevated body temperature.

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Correct Answer is A

Explanation

A. Increased restlessness can indicate hypoxia, pain, or worsening shock, which are critical concerns in a toddler with significant burns. This finding should be reported immediately.
B. Respiratory rate of 25/min is within the normal range for a toddler (22-37 breaths per minute) and does not require immediate intervention.
C. Bowel sounds of 20/min are normal and do not indicate a complication.
D. Urinary output of 35 mL/hr is adequate for a toddler (goal: ≥1-2 mL/kg/hr, which would be ≥20-40 mL/hr for a 20 kg child) and does not require reporting.

A. Minimize movement of the limbs. B. Place the child in a prone position. C. Clear the area of hard objects. D. Insert a tongue blade between the teeth.

Correct Answer is C

Explanation

A. Minimizing movement of the limbs is not a recommended action during a seizure. It is important to allow the seizure to run its course while ensuring the safety of the child.

B. Placing the child in a prone position is not recommended during a seizure. The child should be placed in a lateral (side-lying) position to help prevent aspiration and maintain an open airway.

C. This is the correct action. Clearing the area of hard objects helps prevent injury to the child during the seizure. It is important to create a safe environment.

D. Inserting a tongue blade between the teeth is not recommended. This action can cause injury to the child's mouth or teeth. It is a myth that individuals can swallow their tongue during a seizure.

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A nurse is assessing an adolescent client who has Hodgkin's lymphoma. Which of the following findings should the nurse expect?

Nursing Test Bank

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