Which finding will the nurse expect in a patient who is hospitalized with stage I Hodgkin lymphoma?
Skeletal pain.
Enlarged lymph nodes.
T-cell blasts in the lymph node.
Lymphoblasts in the cerebrospinal fluid.
The Correct Answer is B
Choice A rationale:
Skeletal pain is not a typical finding in stage I Hodgkin lymphoma. Hodgkin lymphoma typically presents with painless enlarged lymph nodes, which is a hallmark symptom of the disease.
Choice B rationale:
Enlarged lymph nodes are a characteristic feature of Hodgkin lymphoma. In stage I, the disease is localized to one group of lymph nodes.
Choice C rationale:
T-cell blasts in the lymph node are not specific to Hodgkin lymphoma. Hodgkin lymphoma is characterized by the presence of Reed-Sternberg cells, which are large abnormal B cells, not T-cell blasts.
Choice D rationale:
Lymphoblasts in the cerebrospinal fluid are not associated with Hodgkin lymphoma. Involvement of the central nervous system is rare in Hodgkin lymphoma and typically does not lead to the presence of lymphoblasts in the cerebrospinal fluid.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C"]
Explanation
Choice A rationale:
Fatigue can be a symptom of uncontrolled hypertension. Elevated blood pressure can strain the heart, leading to decreased cardiac output and inadequate oxygen supply to body tissues, which can result in fatigue.
Choice B rationale:
Dizziness is a common symptom of uncontrolled hypertension. High blood pressure can cause the blood vessels in the inner ear to rupture or leak, leading to dizziness and balance issues.
Choice C rationale:
Palpitations, which are sensations of rapid, strong, or irregular heartbeats, can occur in individuals with uncontrolled hypertension. Hypertension can lead to changes in the structure and function of the heart, causing palpitations.
Choice D rationale:
Cluster headaches are not directly associated with uncontrolled hypertension. Cluster headaches are severe headaches that occur in clusters, often at the same time of day for several weeks. These headaches are not a typical symptom of hypertension.
Correct Answer is D
Explanation
Choice A rationale:
Stenosis of the heart valves typically leads to murmurs and changes in heart sounds but does not directly impact blood pressure regulation.
Choice B rationale:
Decreased adrenergic sensitivity might lead to lower heart rate and blood pressure, not an increase in systolic blood pressure as seen in this case.
Choice C rationale:
Increased parasympathetic activity would lead to decreased heart rate, not an increase in systolic blood pressure as observed in the patient.
Choice D rationale:
Loss of elasticity in arterial vessels is the correct answer. With aging, arterial walls become less flexible and more rigid due to the accumulation of calcium and collagen. This loss of elasticity results in increased systolic blood pressure, which is the top number in a blood pressure reading. The diastolic pressure, represented by the bottom number, does not usually increase significantly with age. This change is a result of arteriosclerosis, which commonly occurs in elderly individuals.
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