(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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is A
Explanation
Choice A rationale:
This is the correct answer.
Risk factors for lymphoma include exposure to radiation, certain chemicals, and infections such as the Epstein-Barr virus.
These factors can increase the risk of developing lymphoma.
Choice B rationale:
Lymphoma is not solely caused by genetic factors.
While genetics can play a role in some cases, it is a multifactorial disease influenced by various factors, including environmental and lifestyle factors.
Choice C rationale:
Autoimmune diseases are not the only conditions associated with an increased risk of lymphoma.
Other factors, as mentioned in choice A, can also contribute to the development of lymphoma.
Choice D rationale:
Age and ethnicity can be considered risk factors for lymphoma.
For example, certain types of lymphoma are more common in older individuals, and there may be variations in lymphoma incidence based on ethnicity.
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