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. While inflammation plays a role in restoring functional cells, it is not the ultimate goal. The primary purpose of inflammation is to prepare the site for healing, which includes clearing out damaged cells and pathogens.
B. Inflammation is a vital process that helps prepare the site for healing by facilitating the removal of dead tissue and pathogens, allowing for tissue repair. It also promotes the formation of new tissue.
C. Platelet aggregation and clotting are part of the inflammatory process, but the ultimate goal of inflammation is not to increase platelets but to prepare the site for repair and healing.
D. Inflammatory mediators typically cause vasodilation to increase blood flow to the affected area, not vasoconstriction. This helps deliver nutrients, oxygen, and immune cells to the site of injury.
Correct Answer is D
Explanation
A. Cystic fibrosis (CF) patients typically lose more salt through sweat, so they need extra salt in their diet, not a restriction. Restricting salt is not recommended for CF patients.
B. Limiting fluid intake is not appropriate for CF patients, as they often require adequate hydration to help thin mucus and improve respiratory function.
C. CF patients need a high-calorie, high-fat, and high-protein diet to support their increased metabolic demands and to help with nutrient absorption, as they often have malabsorption issues. Low-fat meals are not recommended.
D. Pancreatic enzyme replacement therapy is essential for CF patients because their pancreas does not produce enough enzymes to properly digest food. These enzymes should be taken with meals and snacks to aid digestion and nutrient absorption.
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