A nurse is caring for a patient diagnosed with non-Hodgkin lymphoma (NHL)
Which statement by the patient indicates a correct understanding of NHL?
"NHL is characterized by Reed-Sternberg cells.”
"NHL originates from abnormal T cells.”
"NHL is a type of leukemia.”
"NHL affects only the bone marrow.”
The Correct Answer is B
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Night sweats are one of the B-symptoms associated with lymphoma.
B-symptoms are systemic symptoms that include night sweats, unexplained weight loss, and fever.
These symptoms can be indicative of lymphoma, and their presence should be assessed in a patient with suspected lymphoma.
Choice B rationale:
Unexplained weight loss is another B-symptom commonly associated with lymphoma.
It can be a sign of lymphoma-related metabolic changes.
Assessing weight loss is important in evaluating a patient with suspected lymphoma.
Choice C rationale:
A constant cough that won't go away is not typically associated with lymphoma.
While lymphoma can cause respiratory symptoms if it involves lymph nodes in the chest, such as mediastinal lymph nodes, a persistent cough is not a primary symptom.
Choice D rationale:
Feeling weak and fatigued can be a non-specific symptom seen in various medical conditions, including lymphoma.
However, it is not a B-symptom and does not specifically point to lymphoma.
While fatigue can be associated with the disease, it is essential to consider other symptoms like night sweats and unexplained weight loss when assessing a patient for lymphoma.
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.
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