A nurse is explaining the pathophysiology of lymphoma to a group of nursing students.
What key process occurs in the development of lymphoma?
Lymphocytes undergo apoptosis and eliminate the tumor cells.
Altered lymphocytes proliferate and form a tumor mass.
The tumor mass inhibits angiogenesis.
The tumor cells are unable to spread beyond the lymphatic system.
The Correct Answer is B
Choice A rationale:
Lymphoma is characterized by the abnormal proliferation of lymphocytes, not their apoptosis.
In lymphoma, lymphocytes become altered and undergo uncontrolled growth, leading to the formation of a tumor mass.
Choice B rationale:
This is the correct answer.
In lymphoma, altered lymphocytes proliferate and form a tumor mass.
This abnormal proliferation of lymphocytes is a key process in the development of lymphoma.
Choice C rationale:
The tumor mass in lymphoma does not inhibit angiogenesis.
In fact, it may induce angiogenesis to supply nutrients to the growing tumor.
Angiogenesis is the process of forming new blood vessels, and it is often seen in tumors to ensure their blood supply.
Choice D rationale:
Lymphoma tumor cells can spread beyond the lymphatic system to other parts of the body.
This spread is a significant concern in lymphoma, as it can lead to metastasis.
Therefore, this statement is not accurate.
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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:
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.
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