A client with suspected lymphoma is undergoing diagnostic evaluation.
Which of the following tests or procedures is NOT typically part of the diagnostic process for lymphoma?
Lumbar puncture.
Bone marrow biopsy.
Chest X-ray.
Blood tests.
The Correct Answer is A
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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Administer intravenous fluids as prescribed.
Lymphoma patients may experience fluid and electrolyte imbalances due to factors such as nausea, vomiting, and treatment-related side effects.
Administering intravenous fluids as prescribed can help maintain hydration and electrolyte balance, especially if the patient is unable to tolerate oral intake.
Choice B rationale:
Encourage the patient to consume caffeine and alcohol.
Encouraging the consumption of caffeine and alcohol is not appropriate for a patient with lymphoma who needs to maintain fluid and electrolyte balance.
Both caffeine and alcohol can have diuretic effects and may worsen dehydration and electrolyte imbalances.
Choice C rationale:
Teach the patient to report signs of imbalance.
Educating the patient to report signs of fluid and electrolyte imbalance is important for early detection and intervention.
However, this alone is not sufficient as an intervention.
Actual measures to address the imbalance, such as administering fluids or adjusting the treatment plan, should be implemented based on the patient's condition.
Choice D rationale:
Administer diuretics as prescribed.
Administering diuretics should not be the first-line intervention for a patient with lymphoma who is at risk of fluid and electrolyte imbalance.
Diuretics can exacerbate these imbalances and should only be used when medically necessary and under the guidance of a healthcare provider.
Correct Answer is B
Explanation
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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