The nurse is caring for a client with Hodgkin lymphoma. Which clinical manifestations can the nurse expect to find? (Select All that Apply.)

Painless, swollen lymph node

Generalized pruritis

Malaise

Cough

High fever

Answer and Explanation

Correct Answer : A,B,C

A. Painless lymphadenopathy, especially in the cervical, supraclavicular, or mediastinal areas, is a hallmark feature of Hodgkin lymphoma, reflecting the disease's characteristic pattern of lymph node involvement.
B. Pruritis can occur in Hodgkin lymphoma, and can either be focal or generalized.

C.   Generalized feelings of discomfort, fatigue, or unease are common in Hodgkin lymphoma due to the effects of the disease on the immune system, as well as potential systemic symptoms such as fever, night sweats, and weight loss.
D.   While cough can occur in advanced stages of Hodgkin lymphoma, it is not a defining clinical manifestation and is more commonly associated with respiratory infections or complications.

E.   Fever is one of the B symptoms which are associated with Hodgkin Lymphoma.

However, the fever is often low-grade and can be associated with Pel-Ebstein fever which is intermittent fever periods with high temperature followed by afebrile periods.

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Correct Answer is D

Explanation

A. A specific gravity within the normal range indicates adequate urine concentration and hydration status, which is not typically concerning.
B. This color is indicative of normal urine concentration and hydration status and is not necessarily indicative of urinary tract pathology.
C. Absence of glucose in the urine is a normal finding and does not typically warrant further investigation.
D. Microscopic hematuria (blood in the urine not visible to the naked eye) may indicate underlying urinary tract pathology, such as infection, inflammation, or kidney stones, and should be reported to the provider for further evaluation and management.

A. meat loaf, mashed potatoes with gravy, green beans B. beef and cheese sandwich on whole grain bread apple, whole milk C. roast turkey, rice, gelatin dessert D. cream of chicken soup, milk, gelatin dessert

Correct Answer is C

Explanation

A. This meal is high in fat, which may be poorly tolerated after a cholecystectomy, as it can exacerbate symptoms such as diarrhea and abdominal discomfort.
B. This meal is high in fat and may be difficult to digest after a cholecystectomy.

Whole milk can also be rich in fat, which may not be well tolerated.

C. This meal is lower in fat and includes easily digestible foods such as roast turkey and rice, which are generally well tolerated after a cholecystectomy. Gelatin dessert provides a light and refreshing option for dessert without adding excess fat.
D. This meal is high in fat, which may be poorly tolerated after a cholecystectomy, as it can exacerbate symptoms such as diarrhea and abdominal discomfort.

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The nurse is caring for a client with Hodgkin lymphoma. Which clinical manifestations can the nurse expect to find? (Select All that Apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the urinalysis results of a client who reports urinary frequency and burning. Which of the following findings should the nurse report to the provider?

Correct Answer is D

Explanation

The nurse reinforces teaching for a patient after a cholecystectomy. The nurse knows that the patient understands the diet if which menu items are selected?

Correct Answer is C

Explanation

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