The nurse is caring for a patient with stage IV Hodgkin disease. Where should the nurse expect to find enlarged lymph nodes during the assessment?

Two areas of lymph nodes above and below the diaphragm

Two or more areas on the same side of the diaphragm

Localized in the cervical neck area only

Generalized throughout the body within multiple organs

Answer and Explanation

The Correct Answer is D

A. Two areas of lymph nodes above and below the diaphragm: This describes stage III Hodgkin disease, where lymph node involvement occurs both above and below the diaphragm, but not necessarily in multiple organs.

B. Two or more areas on the same side of the diaphragm: This corresponds to stage II Hodgkin disease, which is limited to two or more lymph node regions on the same side of the diaphragm.

C. Localized in the cervical neck area only: Stage I Hodgkin disease typically involves a single lymph node region, often the cervical nodes, without generalized or extensive spread.

D. Generalized throughout the body within multiple organs: In stage IV Hodgkin disease, the cancer has spread beyond the lymph nodes to other organs and tissues, leading to generalized lymphadenopathy and potential organ involvement.

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Correct Answer is {"A":{"answers":"A,B"},"B":{"answers":"A,C"},"C":{"answers":"A,B"},"D":{"answers":"A"},"E":{"answers":"A"}}

Explanation

Reported pain

Leukemia: Possible, as bone pain can occur due to marrow involvement.
Sickle Cell Anemia: Yes, common due to vaso-occlusive crises.
Hemophilia: No, hemophilia typically causes bleeding rather than pain from blood cell abnormalities.

Bleeding

Leukemia: Yes, due to thrombocytopenia.
Sickle Cell Anemia: No, bleeding is not typical in sickle cell crises.
Hemophilia: Yes, hemophilia is a bleeding disorder due to a clotting factor deficiency.

Temperature

Leukemia: Yes, fever can indicate infection due to immunosuppression.
Sickle Cell Anemia: Yes, fever can be a sign of infection during crises.
Hemophilia: No, hemophilia does not cause fever unless there is an infection.

Bruising

Leukemia: Yes, thrombocytopenia can lead to easy bruising.
Sickle Cell Anemia: No, bruising is not typical in sickle cell crises.
Hemophilia: Yes, due to a clotting factor deficiency, easy bruising is common.

WBC count

Leukemia: Yes, often elevated due to immature or abnormal white cells.
Sickle Cell Anemia: No, WBC count is usually normal unless there is an infection.
Hemophilia: No, WBC count is typically normal in hemophilia.

A. Results indicate the presence of Reed Sternberg cells B. The patient is cyanotic C. The patient is complaining of excessive thirst and hunger D. Results indicate the presence of the Philadelphia chromosome

Correct Answer is A

Explanation

A. Results indicate the presence of Reed Sternberg cells: Reed-Sternberg cells are a defining characteristic of Hodgkin disease, a type of lymphoma. Their presence in biopsy samples confirms the diagnosis, distinguishing Hodgkin disease from other types of lymphomas and leukemias.

B. The patient is cyanotic: Cyanosis, or bluish skin discoloration due to low oxygen levels, is not a common sign of Hodgkin disease. It may occur in advanced disease due to respiratory compromise but is not a defining characteristic.

C. The patient is complaining of excessive thirst and hunger: Excessive thirst and hunger are more characteristic of diabetes mellitus, not Hodgkin disease. These symptoms are unrelated to the lymphatic involvement seen in Hodgkin disease.

D. Results indicate the presence of the Philadelphia chromosome: The Philadelphia chromosome is a genetic abnormality associated with chronic myelogenous leukemia (CML), not Hodgkin disease. Its presence suggests a different hematologic malignancy.

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The nurse is caring for a patient with stage IV Hodgkin disease. Where should the nurse expect to find enlarged lymph nodes during the assessment?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is {"A":{"answers":"A,B"},"B":{"answers":"A,C"},"C":{"answers":"A,B"},"D":{"answers":"A"},"E":{"answers":"A"}}

Explanation

The nurse is assessing a patient in a family practice clinic. The patient had extensive testing to rule out Hodgkin disease. Which of the following characteristics would indicate Hodgkin disease?

Correct Answer is A

Explanation

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