Which explanation will the nurse give a patient with non-Hodgkin lymphoma about the purpose of a planned lumbar puncture?
To rule out any bone marrow involvement.
To determine the level of cell differentiation.
To establish which lymph cell type is involved.
To find any central nervous system involvement.
The Correct Answer is D
Choice A rationale:
A lumbar puncture is not typically performed to rule out bone marrow involvement in non-Hodgkin lymphoma. Imaging studies and bone marrow biopsies are more appropriate for evaluating bone marrow involvement.
Choice B rationale:
Determining the level of cell differentiation is not the primary purpose of a lumbar puncture in non-Hodgkin lymphoma. This information is usually obtained from a biopsy of the affected lymph nodes or organs.
Choice C rationale:
Identifying the specific lymph cell type involved is not the main objective of a lumbar puncture in non-Hodgkin lymphoma. This information is usually determined through lymph node biopsy and other imaging studies.
Choice D rationale:
The purpose of a lumbar puncture in non-Hodgkin lymphoma is to find any central nervous system involvement. Lymphoma cells can spread to the central nervous system, and a lumbar puncture allows for the examination of cerebrospinal fluid to detect any cancerous cells, which can guide treatment decisions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Methotrexate is a medication used for cancer and autoimmune diseases. It does not chelate iron and is not used to treat iron overload conditions like hemochromatosis.
Choice B rationale:
Deferoxamine is an iron chelating agent used to treat iron overload conditions like hemochromatosis. It binds to excess iron and promotes its excretion from the body, preventing complications such as organ damage.
Choice C rationale:
Ferrous gluconate is an iron supplement used to treat iron deficiency anemia. It would not be appropriate for a patient with hemochromatosis, a condition characterized by iron overload.
Choice D rationale:
Iron dextran complex is another form of intravenous iron used to treat iron deficiency anemia. It is not indicated for treating iron overload conditions like hemochromatosis.
Correct Answer is B
Explanation
Choice A rationale:
Dizziness with a blood pressure of 150/92 mm Hg indicates hypertension, but it is not an immediate life-threatening condition requiring urgent assessment compared to a severe headache and vomiting.
Choice B rationale:
A severe headache and vomiting could be indicative of a serious neurological condition such as a stroke, intracranial bleeding, or increased intracranial pressure. This patient needs urgent assessment and intervention to prevent potential complications.
Choice C rationale:
A hip fracture with a pain level of 2 on a 1-to-10 scale suggests pain but is not immediately life-threatening compared to symptoms like severe headache and vomiting.
Choice D rationale:
Fatigue after receiving an ACE inhibitor is a common side effect and, while important to monitor, does not pose an immediate threat compared to the symptoms of severe headache and vomiting.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.
