Mary Jane comes to the clinic concerned about a painless lymph node in the neck. A diagnosis of lymphoma is made. Which of the following would indicate that the lymphoma was Hodgkin lymphoma versus non-Hodgkin lymphoma?
The location of the enlarged lymph nodes
The presence of Reed-Sternberg cells
The age of the patient
Spread to the spleen, liver, and bone marrow
The Correct Answer is B
A. Both Hodgkin lymphoma (HL) and non-Hodgkin lymphoma (NHL) can cause lymph node enlargement in various locations, including the neck. The location of the lymph nodes alone does not differentiate between the two types of lymphoma.
B. The presence of Reed-Sternberg cells is a hallmark of Hodgkin lymphoma. These abnormal cells are typically found in the lymph nodes of patients with HL and are a key diagnostic feature.
C. Hodgkin lymphoma is more common in young adults and older adults, but it can occur at any age. Non-Hodgkin lymphoma has a broader age distribution and can affect individuals of all ages, so age alone is not a distinguishing factor.
D. Both Hodgkin and non-Hodgkin lymphoma can spread to the spleen, liver, and bone marrow, so the spread of disease alone is not specific to either type of lymphoma. The presence of Reed-Sternberg cells is the key diagnostic feature for Hodgkin lymphoma.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. When performing hand hygiene, the hands should be held lower than the elbows to allow water to flow downward, preventing the contamination of the forearms.
B. The water temperature should be warm, but not hot, to prevent skin irritation. Extremely hot water is not necessary for effective hand hygiene.
C. Hands and arms should be rubbed together to create friction during hand washing. However, drying should be done with a clean paper towel or air dryer, not by rubbing the hands and arms together.
D. The correct amount of liquid soap for hand hygiene is typically 4 to 5 mL. This is the appropriate amount to ensure effective coverage and cleaning of the hands.
Correct Answer is B
Explanation
A. Obesity is a common symptom of Cushing syndrome but is not the primary diagnostic criterion. Other tests are needed to confirm the diagnosis.
B. A 24-hour urine collection for cortisol is one of the most common and reliable methods for diagnosing Cushing syndrome. Elevated cortisol levels in the urine are indicative of the syndrome.
C. Chronic renal failure is not related to the diagnosis of Cushing syndrome. While Cushing syndrome may affect renal function, it is not the primary diagnostic tool.
D. Alcoholism can cause symptoms similar to those of Cushing syndrome, but it is not used as a diagnostic criterion. The diagnosis of Cushing syndrome requires specific tests, such as urine cortisol measurement.
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