(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 A
Explanation
Choice A rationale:
Hodgkin lymphoma (HL) is characterized by the presence of Reed-Sternberg cells, which are large, abnormal B lymphocytes with multi-lobed nuclei.
These cells are typically present in HL and are a hallmark feature that distinguishes it from non-Hodgkin lymphoma (NHL)
Reed-Sternberg cells are not found in NHL.
This difference in cell type is one of the main distinctions between HL and NHL.
Choice B rationale:
This statement is not accurate.
NHL can originate from both T cells and B cells, while HL primarily originates from B cells.
However, the presence of Reed-Sternberg cells is the more distinguishing feature between the two.
Choice C rationale:
This statement is incorrect.
HL and NHL have different clinical manifestations, and their pathogenesis and treatment also differ significantly.
While some symptoms may overlap, they are not the same.
Choice D rationale:
This statement is incorrect.
HL primarily affects lymph nodes, and it can also spread to other organs.
NHL, on the other hand, can affect various organs, including lymph nodes, but it does not primarily affect the digestive tract.
Again, the presence of Reed-Sternberg cells is a more critical distinguishing factor.
Correct Answer is A
Explanation
Choice A rationale:
Monitor the patient's dietary intake.
Lymphoma patients often experience weight loss and weakness due to the effects of the disease and its treatment, including anorexia and nausea.
Monitoring the patient's dietary intake is essential to assess nutritional status, identify any deficiencies, and develop an appropriate nutritional plan.
It helps ensure that the patient receives adequate nutrients and calories to support their healing process.
Choice B rationale:
Administer intravenous fluids as prescribed.
While hydration is important, administering intravenous fluids should not be the first-line intervention for weight loss and weakness in a lymphoma patient.
Intravenous fluids may be necessary in cases of dehydration, but they do not address the underlying nutritional issues.
Other interventions, such as dietary modifications and supplements, should be considered first.
Choice C rationale:
Advise the patient to eat spicy and fatty foods.
Advising the patient to eat spicy and fatty foods is not appropriate for a patient with lymphoma who is experiencing weight loss and weakness.
Such foods can exacerbate gastrointestinal symptoms, leading to discomfort and further decreased food intake.
The focus should be on providing a balanced and nutritious diet.
Choice D rationale:
Recommend avoiding high-calorie foods.
Avoiding high-calorie foods is not advisable for a lymphoma patient experiencing weight loss and weakness.
These patients often require extra calories to combat weight loss and support their energy needs during treatment.
Encouraging a healthy intake of calories from nutritious sources is more appropriate.
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