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 B
Explanation
A. Adjusting thirst sensation is not the primary focus of treatment for Diabetes Insipidus. The condition is more concerned with fluid balance and preventing dehydration due to excessive urination.
B. Hydration is crucial in the management of Diabetes Insipidus, as patients experience excessive urination and fluid loss. Proper hydration helps prevent dehydration and its associated complications.
C. A 24-hour urine collection is used to assess the extent of polyuria but is not a primary treatment strategy. Treatment focuses on managing fluid balance rather than just monitoring urine output.
D. While increasing Antidiuretic Hormone (ADH) or using synthetic ADH (desmopressin) can be part of treatment, the key treatment focus is maintaining adequate hydration to counteract the effects of polyuria.
Correct Answer is C
Explanation
A. Cystine stones are rare and occur due to a genetic disorder called cystinuria. They are not the most common type of renal calculi.
B. Uric acid stones are also relatively common, especially in individuals with gout or those with high levels of uric acid in the urine. However, calcium oxalate is more common.
C. Calcium oxalate is the most common type of renal calculi, accounting for about 70-80% of kidney stones. These stones form when calcium combines with oxalate in the urine.
D. Struvite stones are associated with urinary tract infections caused by urease-producing bacteria. They are less common than calcium oxalate stones.
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