(Select all that apply):
A nurse is assessing a patient with lymphoma.
Which clinical manifestations should the nurse expect to find in this patient? Select all that apply.
Enlarged lymph nodes.
Unexplained weight loss.
Elevated blood sugar levels.
Night sweats.
Increased blood pressure.
Correct Answer : A,B,D
Choice A rationale:
Enlarged lymph nodes are a common clinical manifestation of lymphoma.
Lymphoma can cause the lymph nodes to become enlarged and painless.
Choice B rationale:
Unexplained weight loss is a common systemic symptom of lymphoma.
It is often one of the "B symptoms" used to classify the stage of lymphoma.
Choice C rationale:
Elevated blood sugar levels are not typically associated with lymphoma.
This is not a common clinical manifestation of the disease.
Choice D rationale:
Night sweats are another common systemic symptom of lymphoma.
They are also considered one of the "B symptoms" that may be present in patients with lymphoma.
Choice E rationale:
Increased blood pressure is not a typical clinical manifestation of lymphoma.
It is not directly related to the disease process.
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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","B","E"]
Explanation
Choice A rationale:
Administer antibiotics as prescribed.
Patients with lymphoma often have compromised immune systems due to their disease and its treatment, making them susceptible to infections.
Administering antibiotics as prescribed is appropriate to prevent and treat infections in these patients.
It helps in reducing the risk of complications associated with infections, such as sepsis.
Choice B rationale:
Administer platelet transfusions as prescribed.
Lymphoma patients may experience bleeding tendencies, including thrombocytopenia, which can result from the disease itself or its treatment.
Platelet transfusions can help manage bleeding and prevent hemorrhage in these patients by increasing their platelet counts.
Choice E rationale:
Teach the patient to report signs of bleeding such as bruising.
Educating the patient to report signs of bleeding, such as bruising, is essential in lymphoma care.
Early detection and intervention can prevent complications associated with bleeding disorders.
This proactive approach allows healthcare providers to assess and manage the patient's condition promptly.
Choice C rationale:
Teach the patient to avoid hand hygiene.
Avoiding hand hygiene is not an appropriate intervention for a patient with lymphoma.
Hand hygiene is crucial in preventing infections in healthcare settings.
Encouraging patients to practice proper hand hygiene is essential for infection control.
Therefore, this choice is incorrect in this context.
Choice D rationale:
Administer antivirals as prescribed.
Administering antivirals is not a standard intervention for all lymphoma patients.
The use of antivirals would depend on specific indications or infections.
It is not a routine preventive measure in lymphoma care, so this choice is not appropriate.
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