A client recently diagnosed with Hodgkin lymphoma asks the nurse about the main difference between Hodgkin lymphoma (HL) and non-Hodgkin lymphoma (NHL)
How should the nurse respond?
"HL is characterized by the presence of Reed-Sternberg cells, while NHL is not.”
"NHL originates from T cells, whereas HL originates from B cells.”
"Both HL and NHL have the same clinical manifestations.”
"HL primarily affects the digestive tract, while NHL affects lymph nodes.”
The Correct Answer is A
Choice A rationale:
Hodgkin lymphoma (HL) is characterized by the presence of Reed-Sternberg cells, which are large, abnormal B lymphocytes with multi-lobed nuclei.
These cells are typically present in HL and are a hallmark feature that distinguishes it from non-Hodgkin lymphoma (NHL)
Reed-Sternberg cells are not found in NHL.
This difference in cell type is one of the main distinctions between HL and NHL.
Choice B rationale:
This statement is not accurate.
NHL can originate from both T cells and B cells, while HL primarily originates from B cells.
However, the presence of Reed-Sternberg cells is the more distinguishing feature between the two.
Choice C rationale:
This statement is incorrect.
HL and NHL have different clinical manifestations, and their pathogenesis and treatment also differ significantly.
While some symptoms may overlap, they are not the same.
Choice D rationale:
This statement is incorrect.
HL primarily affects lymph nodes, and it can also spread to other organs.
NHL, on the other hand, can affect various organs, including lymph nodes, but it does not primarily affect the digestive tract.
Again, the presence of Reed-Sternberg cells is a more critical distinguishing factor.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Lumbar puncture is not typically part of the routine diagnostic evaluation for lymphoma.
Lymphoma primarily affects the lymphatic system and peripheral blood, so cerebrospinal fluid analysis (which is obtained through lumbar puncture) is generally not required unless there is a specific suspicion of central nervous system involvement.
It is more commonly used in the evaluation of neurological conditions, infections, or conditions affecting the central nervous system.
Choice B rationale:
Bone marrow biopsy is commonly included in the diagnostic workup for lymphoma because it helps assess the extent of bone marrow involvement, which is essential for staging and treatment planning.
Choice C rationale:
Chest X-ray is often performed as part of the initial evaluation for lymphoma, especially to check for mediastinal lymph node enlargement or lung involvement.
Choice D rationale:
Blood tests, including a complete blood count (CBC) and blood chemistry, are routinely performed in the diagnostic process for lymphoma.
These tests can provide valuable information about the patient's overall health, including potential abnormalities in blood cell counts and markers of organ function.
Correct Answer is A
Explanation
Choice A rationale:
Monitor the patient's dietary intake.
Lymphoma patients often experience weight loss and weakness due to the effects of the disease and its treatment, including anorexia and nausea.
Monitoring the patient's dietary intake is essential to assess nutritional status, identify any deficiencies, and develop an appropriate nutritional plan.
It helps ensure that the patient receives adequate nutrients and calories to support their healing process.
Choice B rationale:
Administer intravenous fluids as prescribed.
While hydration is important, administering intravenous fluids should not be the first-line intervention for weight loss and weakness in a lymphoma patient.
Intravenous fluids may be necessary in cases of dehydration, but they do not address the underlying nutritional issues.
Other interventions, such as dietary modifications and supplements, should be considered first.
Choice C rationale:
Advise the patient to eat spicy and fatty foods.
Advising the patient to eat spicy and fatty foods is not appropriate for a patient with lymphoma who is experiencing weight loss and weakness.
Such foods can exacerbate gastrointestinal symptoms, leading to discomfort and further decreased food intake.
The focus should be on providing a balanced and nutritious diet.
Choice D rationale:
Recommend avoiding high-calorie foods.
Avoiding high-calorie foods is not advisable for a lymphoma patient experiencing weight loss and weakness.
These patients often require extra calories to combat weight loss and support their energy needs during treatment.
Encouraging a healthy intake of calories from nutritious sources is more appropriate.
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