A client with lymphoma is experiencing pain and itching.
What nursing interventions should be implemented to address these symptoms?
"I will administer analgesics and antipyretics as prescribed.”
"I will provide comfort measures such as cool compresses and lotion application.”
"I will recommend avoiding all physical activity.”
"I will perform surgery to alleviate the pain and itching.”
The Correct Answer is B
Choice B rationale:
Providing comfort measures, such as cool compresses and lotion application, is an appropriate nursing intervention to address pain and itching in a client with lymphoma.
Itching is a common symptom in some lymphomas, and these measures can help soothe the skin and alleviate discomfort.
Administering analgesics (as mentioned in choice A) may be necessary for pain relief, but it is not the primary intervention for itching.
Choice A rationale:
"I will administer analgesics and antipyretics as prescribed." Administering analgesics (pain relievers) can be a helpful intervention if the client is experiencing pain, but it may not effectively address itching.
Antipyretics (fever-reducing medications) are not relevant to addressing pain and itching in lymphoma patients unless they have a fever as well.
Choice C rationale:
"I will recommend avoiding all physical activity." While it may be necessary for some patients to limit physical activity during certain phases of lymphoma treatment, recommending complete avoidance of physical activity is not a standard intervention for addressing pain and itching associated with lymphoma.
In fact, gentle movement and exercises may be beneficial for maintaining mobility and overall well-being.
Choice D rationale:
"I will perform surgery to alleviate the pain and itching." Surgical intervention is not a primary or standard approach for addressing pain and itching in lymphoma patients.
Surgery is typically reserved for specific cases, such as lymph node biopsy or removal, and would not be the first-line treatment for these symptoms.
Nursing Test Bank
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 ["A","B","D"]
Explanation
Choice A rationale:
Enlarged lymph nodes are a common clinical manifestation of lymphoma.
Lymphoma can cause the lymph nodes to become enlarged and painless.
Choice B rationale:
Unexplained weight loss is a common systemic symptom of lymphoma.
It is often one of the "B symptoms" used to classify the stage of lymphoma.
Choice C rationale:
Elevated blood sugar levels are not typically associated with lymphoma.
This is not a common clinical manifestation of the disease.
Choice D rationale:
Night sweats are another common systemic symptom of lymphoma.
They are also considered one of the "B symptoms" that may be present in patients with lymphoma.
Choice E rationale:
Increased blood pressure is not a typical clinical manifestation of lymphoma.
It is not directly related to the disease process.
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