A client diagnosed with Hodgkin's lymphoma (HL) presents with enlarged lymph nodes and Reed-Sternberg cells in the biopsy specimen.
What other symptoms are commonly associated with HL?
"I often have fever with temperatures exceeding 38°C.”
"I've noticed significant weight loss in the past 6 months.”
"I experience abdominal pain and fullness.”
"I have difficulty breathing.”
The Correct Answer is B
Choice A rationale:
Fever exceeding 38°C is a common symptom in HL, known as "Pel-Ebstein fever." This cyclic pattern of fever is characteristic of Hodgkin's lymphoma, but it is not the only common symptom.
Therefore, this choice is partially correct but not the most comprehensive.
Choice B rationale:
Significant unexplained weight loss over a period of six months or less is a classic "B" symptom associated with HL.
B symptoms are systemic symptoms that indicate a more advanced stage of the disease and typically include fever, night sweats, and weight loss exceeding 10% of the patient's baseline.
This choice is correct and represents a hallmark of HL.
Choice C rationale:
Abdominal pain and fullness are not typically associated with Hodgkin's lymphoma.
These symptoms are more commonly linked to other lymphoproliferative disorders or non-Hodgkin's lymphoma (NHL)
Choice D rationale:
Difficulty breathing is not a primary symptom of Hodgkin's lymphoma.
While it is possible for HL to cause enlarged lymph nodes in the mediastinum, leading to compression of the airways, this is not a common presenting symptom.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Educating the patient about the type and subtype of lymphoma is crucial for their understanding of the disease.
Lymphomas can be classified into various types, including Hodgkin lymphoma and non-Hodgkin lymphoma, each with different subtypes.
Knowing the specific type and subtype of lymphoma helps the patient comprehend their diagnosis, prognosis, and treatment options, as these can vary significantly among different lymphoma types.
Choice B rationale:
"I will discuss the treatment options available." Providing information about treatment options is an essential part of educating a patient with lymphoma.
However, understanding the type and subtype of lymphoma comes first because treatment decisions are often based on this classification.
Therefore, choice A takes precedence in the education process.
Choice C rationale:
This information helps the patient prepare for what to expect during treatment.
Choice D rationale:
"I will give you all the necessary medications." While medication management is a crucial aspect of lymphoma treatment, it should be discussed after the patient has been informed about their specific lymphoma type, treatment options, and potential side effects.
The choice of medications depends on the treatment plan tailored to the patient's diagnosis.
Correct Answer is B
Explanation
Choice A rationale:
Reed-Sternberg cells are characteristic of Hodgkin lymphoma, not non-Hodgkin lymphoma.
Non-Hodgkin lymphoma involves abnormal B or T cells, not Reed-Sternberg cells.
Choice B rationale:
This is the correct answer.
Non-Hodgkin lymphoma can originate from abnormal B cells (B-cell NHL) or T cells (T-cell NHL)
It is a heterogeneous group of lymphoid malignancies, and the understanding that it can originate from abnormal T cells is correct.
Choice C rationale:
Non-Hodgkin lymphoma is not a type of leukemia.
While both are types of blood cancers, they have distinct characteristics and origins.
Choice D rationale:
Non-Hodgkin lymphoma does not affect only the bone marrow.
It primarily involves the lymphatic system, which includes lymph nodes, spleen, and other lymphoid tissues.
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