Which is an expected physical assessment finding for an adolescent with a diagnosis of Hodgkin’s disease?
Enlarged painless, firm cervical lymph nodes.
Protuberant, firm abdomen.
Soft to hard, nontender mass in the pelvic area.
Painful bilateral inguinal lymph nodes.
The Correct Answer is A
Choice A reason: This is the correct choice. Enlarged painless, firm cervical lymph nodes are a classic sign of Hodgkin’s disease.
Choice B reason: A protuberant, firm abdomen is not a specific finding associated with Hodgkin’s disease.
Choice C reason: A soft to hard, nontender mass in the pelvic area could indicate various conditions but is not specific to Hodgkin’s disease.
Choice D reason: Painful lymph nodes are more commonly associated with infections, not Hodgkin’s disease.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: While a disturbed body image can impact psychological well-being, it is not the immediate priority in the acute phase of burn management.
Choice B reason: Ineffective airway clearance due to edema from burns to the face and chest poses an immediate threat to life, requiring urgent attention to maintain breathing.
Choice C reason: The risk for infection is a significant concern due to epidermal damage; however, it follows airway management in terms of immediate priorities.
Choice D reason: Impaired urinary elimination may occur due to fluid shifts after burns, but ensuring effective airway clearance is the most critical initial step in care.
Correct Answer is C
Explanation
Choice A reason: This statement is not accurate and may cause unnecessary distress, as Guillain-Barré Syndrome often does not result in a lifelong prognosis.
Choice B reason: This statement is overly optimistic and may not be accurate, as recovery times can vary greatly between individuals.
Choice C reason: This response provides a realistic expectation without causing undue alarm, acknowledging the temporary nature of the paralysis and the potential duration of recovery.
Choice D reason: While sensory loss can occur, it is not guaranteed, and the focus should be on the respiratory paralysis and the recovery process.
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