Mary Jane comes to the clinic concerned about a painless lymph node in the neck. A diagnosis of lymphoma is made. Which of the following would indicate that the lymphoma was Hodgkin lymphoma versus non-Hodgkin lymphoma?
The location of the enlarged lymph nodes
The presence of Reed-Sternberg cells
The age of the patient
Spread to the spleen, liver, and bone marrow
The Correct Answer is B
A. Both Hodgkin lymphoma (HL) and non-Hodgkin lymphoma (NHL) can cause lymph node enlargement in various locations, including the neck. The location of the lymph nodes alone does not differentiate between the two types of lymphoma.
B. The presence of Reed-Sternberg cells is a hallmark of Hodgkin lymphoma. These abnormal cells are typically found in the lymph nodes of patients with HL and are a key diagnostic feature.
C. Hodgkin lymphoma is more common in young adults and older adults, but it can occur at any age. Non-Hodgkin lymphoma has a broader age distribution and can affect individuals of all ages, so age alone is not a distinguishing factor.
D. Both Hodgkin and non-Hodgkin lymphoma can spread to the spleen, liver, and bone marrow, so the spread of disease alone is not specific to either type of lymphoma. The presence of Reed-Sternberg cells is the key diagnostic feature for Hodgkin lymphoma.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Pancrelipase is used to replace pancreatic enzymes in clients with pancreatic insufficiency, but it is not typically prescribed in the acute phase of pancreatitis. During acute pancreatitis, the priority is to rest the pancreas, which means withholding pancreatic enzymes.
B. Pantoprazole is a proton pump inhibitor (PPI) that reduces gastric acid secretion. It is commonly prescribed for clients with acute pancreatitis to reduce the risk of stress ulcers, which can occur due to the inflammatory process and the use of medications like corticosteroids.
C. A low-residue diet is not typically indicated in the acute phase of pancreatitis. The client is usually kept NPO (nothing by mouth) initially to rest the pancreas and allow for recovery. Once the acute symptoms subside, a low-fat diet may be introduced.
D. While ambulation is important for overall recovery and preventing complications like deep vein thrombosis, it is not a priority in the acute phase of pancreatitis. Rest and monitoring are more critical at this time.
Correct Answer is A
Explanation
A. The absence of chronic disease is not a strict requirement for effective perfusion. While chronic diseases can impact perfusion, such as through the effects of diabetes or hypertension on the cardiovascular system, effective perfusion can still occur in individuals with chronic conditions if other factors are managed appropriately.
B. Adequate blood volume is essential for effective perfusion because without enough blood, oxygen and nutrients cannot be delivered to tissues.
C. An open airway is crucial for effective perfusion because it allows for proper oxygenation, which is necessary for the delivery of oxygen to tissues via the bloodstream.
D. Functional systemic circulation is required for effective perfusion, as it ensures that blood can flow throughout the body to deliver oxygen and nutrients to tissues and remove waste products.
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