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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Fatigue is a common symptom in patients with multiple myeloma but may not directly impact safety in the home environment as much as other factors.
B. An unsteady gait can increase the risk of falls and injuries, making it a priority for safety considerations in the home environment.
C. Back pain is common in multiple myeloma but may not directly affect safety in the home environment unless it significantly impairs mobility.
D. Dyspnea on exertion may limit physical activity but may not pose an immediate safety risk in the home environment unless it indicates a severe respiratory compromise.
Correct Answer is {"A":{"answers":"A,C"},"B":{"answers":"A,B"},"C":{"answers":"A,C"},"D":{"answers":"B"},"E":{"answers":"C"},"F":{"answers":"C"},"G":{"answers":"A,C"}}
Explanation
Elevated BUN and creatinine levels are common indicators of impaired kidney function, which can be seen in chronic kidney disease (CKD) and glomerulonephritis. Flank pain is often associated with UTIs but can also occur in glomerulonephritis. Decreased RBCs (red blood cells) can be a sign of glomerulonephritis due to the loss of blood cells in the urine. Fever is typically associated with infection, making it more indicative of a UTI.
Peripheral edema is is most commonly associated with CKD and glomerulonephritis due to the retention of fluids and sodium. Hypertension is a common finding in CKD and can also be seen in glomerulonephritis.
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