(Select all that apply):
A nurse is caring for a patient with lymphoma and is monitoring for complications.
Which interventions are appropriate for preventing infection and managing bleeding in this patient? (Select three.)
"Administer antibiotics as prescribed.”
"Administer platelet transfusions as prescribed.”
"Teach the patient to avoid hand hygiene.”
"Administer antivirals as prescribed.”
"Teach the patient to report signs of bleeding such as bruising.”
Correct Answer : A,B,E
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
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.
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