Below are a list of characteristics specific to Lymphoma. Please idicate if the characteristic is specific to Hodgkins Lymphoma or Non- Hodgkins Lymphoma by selecting the appropriate column.
May be associated with HIV and autoimmune diseases
Associated with Epstein Barr Virus (EBV)
Characterized by the presence of Reed-Stemberg Cells
The three main signs and symptoms associated with this type of lymphoma are in grade fever, right sweats and weight loss
Involves multiple nodes and extranodal involvement is common.
The Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"B"}}
Rationale:
• May be associated with HIV and autoimmune diseases: Non-Hodgkin’s lymphoma (NHL) is more commonly linked with immunodeficiency states such as HIV and autoimmune disorders, increasing the risk of NHL development.
• Associated with Epstein Barr Virus (EBV): EBV infection is strongly linked to Hodgkin’s lymphoma, particularly certain subtypes like mixed cellularity and lymphocyte-depleted Hodgkin’s lymphoma.
• Characterized by the presence of Reed-Sternberg Cells: Reed-Sternberg cells, large abnormal multinucleated B cells, are the pathological hallmark specific to Hodgkin’s lymphoma and are absent in NHL.
• The three main signs and symptoms associated with this type of lymphoma are low-grade fever, night sweats, and weight loss: These constitutional “B symptoms” are classic for Hodgkin’s lymphoma and often guide diagnosis and prognosis.
• Involves multiple nodes and extranodal involvement is common: Non-Hodgkin’s lymphoma tends to be more widespread at diagnosis, frequently involving multiple lymph node groups and extranodal sites such as the gastrointestinal tract or bone marrow.
• Localized to a single group of nodes: Hodgkin’s lymphoma characteristically starts in a single lymph node region and spreads in a contiguous manner to adjacent nodes before involving distant sites.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D"]
Explanation
Rationale:
A. Drink plenty of fluids: Adequate hydration helps prevent sickling of red blood cells by reducing blood viscosity, which lowers the risk of vaso-occlusive crises. Encouraging fluid intake is essential in crisis prevention and maintaining overall health.
B. Restrict any physical activities: Completely restricting physical activity is not necessary and can negatively impact the child’s physical and emotional well-being. Moderate, supervised activity is usually encouraged, with avoidance of extreme exertion or dehydration.
C. Report a fever to an adult immediately: Fever can signal infection, which is a common trigger for sickle cell crises. Early reporting ensures prompt medical evaluation and treatment to prevent complications.
D. Wash hands before meals and after playing: Proper hand hygiene reduces the risk of infections, which can precipitate sickle cell crises. Teaching good hygiene practices is critical for infection prevention.
E. Use cold pack to relieve joint pain: Cold can cause vasoconstriction and worsen sickling; therefore, warm compresses are preferred to relieve joint pain. Using cold packs is contraindicated in managing sickle cell pain crises.
Correct Answer is B
Explanation
Rationale:
A. Vitamin C with iron tablet: While iron supplements may be useful for treating anemia if blood loss has been significant, they do not address the underlying clotting factor deficiency in Hemophilia A. Vitamin C supports tissue healing, but it is not a treatment for this disorder.
B. Factor VIII: Hemophilia A is caused by a deficiency or dysfunction of clotting factor VIII, leading to impaired blood coagulation. The primary treatment is replacing factor VIII through IV infusion to restore normal clotting ability and prevent or control bleeding episodes.
C. Factor IX: Factor IX is used to treat Hemophilia B, also known as Christmas disease, which involves a deficiency in factor IX. It is not appropriate for Hemophilia A since it does not correct the missing clotting factor.
D. Aspirin: Aspirin impairs platelet function and increases bleeding risk. In clients with bleeding disorders such as Hemophilia A, it is contraindicated because it can worsen bleeding tendencies and complicate management.
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