(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 B
Explanation
Choice B rationale:
Providing comfort measures, such as cool compresses and lotion application, is an appropriate nursing intervention to address pain and itching in a client with lymphoma.
Itching is a common symptom in some lymphomas, and these measures can help soothe the skin and alleviate discomfort.
Administering analgesics (as mentioned in choice A) may be necessary for pain relief, but it is not the primary intervention for itching.
Choice A rationale:
"I will administer analgesics and antipyretics as prescribed." Administering analgesics (pain relievers) can be a helpful intervention if the client is experiencing pain, but it may not effectively address itching.
Antipyretics (fever-reducing medications) are not relevant to addressing pain and itching in lymphoma patients unless they have a fever as well.
Choice C rationale:
"I will recommend avoiding all physical activity." While it may be necessary for some patients to limit physical activity during certain phases of lymphoma treatment, recommending complete avoidance of physical activity is not a standard intervention for addressing pain and itching associated with lymphoma.
In fact, gentle movement and exercises may be beneficial for maintaining mobility and overall well-being.
Choice D rationale:
"I will perform surgery to alleviate the pain and itching." Surgical intervention is not a primary or standard approach for addressing pain and itching in lymphoma patients.
Surgery is typically reserved for specific cases, such as lymph node biopsy or removal, and would not be the first-line treatment for these symptoms.
Correct Answer is B
Explanation
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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