Click to highlight the five errors in the following paragraph.
Joe is a 28-year-old construction worker diagnosed with stage 1 Hodgkin disease. He initially went to his health care provider because of a painful lump in his neck. He is also experiencing high fevers and weight loss. The diagnosis was confirmed in a laboratory test by the presence of Bence-Jones cells. He expresses his fears to his nurse, who tells him that Hodgkin disease is not really cancer, but it is often curable. Joe takes a leave from work and begins palliative radiation therapy.
painful lump in his neck
high fevers
presence of Bence-Jones cells
not really cancer
palliative radiation therapy
The Correct Answer is ["A","B","C","D","E"]
First, Hodgkin lymphoma (HL) is commonly characterized by painless lymphadenopathy and is not painful, as stated above. Secondly, HL is often characterized by a low-grade fever rather than a high fever. Third, the presence of Bence-Jones cells in a laboratory test is not associated with Hodgkin lymphoma but indicates multiple myeloma, a different type of cancer. Fourth, Hodgkin disease is indeed a form of cancer; it is a malignancy of the lymphatic system. The nurse's statement that it is "not really cancer" is incorrect and misleading. Fifth, palliative radiation therapy is typically used to relieve symptoms in advanced stages of cancer or non-curative scenarios. However, for stage 1 Hodgkin lymphoma, the treatment usually involves chemotherapy and/or radiation therapy with curative intent, not palliative. Joe's nurse should provide accurate information about the nature of Hodgkin's disease and its treatment options, which are based on the stage and specific characteristics of the lymphoma.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. While anemia may weaken the immune system, it is not directly associated with an increased risk of urinary tract infections.
B. Osteoporosis is a bone-related condition and is not directly related to the risk of urinary tract infections.
C. Diabetes mellitus increases the risk of urinary tract infections due to elevated glucose levels in the urine, which provide a favorable environment for bacterial growth.
D. Chronic obstructive pulmonary disease (COPD) is not directly associated with an increased risk of urinary tract infections.
Correct Answer is A
Explanation
A. Atrial flutter is characterized by a regular rhythm with rapid atrial contractions (flutter waves) that have a sawtooth appearance on the ECG tracing.
B. Ventricular tachycardia typically presents with a wide QRS complex and is often associated with hemodynamic instability.
C. Atrial fibrillation is characterized by irregularly irregular rhythm with no distinct P waves and irregular ventricular response.
D. Sinus tachycardia is characterized by a regular rhythm with a heart rate greater than 100 beats per minute originating from the sinus node.
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