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 B

Explanation

A. The QRS interval may vary but is typically less than 0.12 seconds in normal sinus rhythm.
B. Normal sinus rhythm typically has a heart rate between 50 and 100 beats per minute.
C. In normal sinus rhythm, P waves are typically upright and precede each QRS complex.
D. The PR interval may vary but is typically between 0.12 and 0.20 seconds in normal sinus rhythm.

A. Atrial flutter B. Ventricular tachycardia C. Atrial fibrillation D. Sinus tachycardia

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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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

The nurse is reviewing a patient's electrocardiogram (ECG) tracing. Which of the following are characteristics of normal sinus rhythm (NSR?

Correct Answer is B

Explanation

The nurse is reading a cardiac monitor of a patient and observes a regular rhythm, and the P waves have a sawtooth pattern. The nurse recognizes this as which arrhythmia?

Correct Answer is A

Explanation

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