The nurse is assessing several clients. Which client does the nurse determine is most likely to have Hodgkin lymphoma?

The client with painful lymph nodes under the arm.

The client with enlarged lymph nodes in the neck.

The client with a painful sore throat.

The client with painful lymph nodes in the groin.

Answer and Explanation

The Correct Answer is B

A. The client with painful lymph nodes under the arm: Painful lymph nodes are more likely associated with infections or other benign causes rather than Hodgkin lymphoma. In Hodgkin lymphoma, lymph nodes are typically painless.

B. The client with enlarged lymph nodes in the neck: This is the most likely presentation of Hodgkin lymphoma. It often presents with painless, swollen lymph nodes, particularly in the neck, and can be associated with other systemic symptoms such as fever, night sweats, and weight loss.

C. The client with a painful sore throat: A sore throat is more commonly associated with infections like viral or bacterial throat infections (e.g., streptococcal pharyngitis) and is not a typical symptom of Hodgkin lymphoma.

D. The client with painful lymph nodes in the groin: While Hodgkin lymphoma can cause lymph node enlargement, pain in lymph nodes is commonly related infections. Hodgkins presents with painless lymphadenopathy, particularly in the neck, chest, or armpits.

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Correct Answer is ["A","C","E"]

Explanation

A. Lubricate lips with water-soluble ointment: Clients with thrombocytopenia may have dry, cracked lips due to reduced platelet function and increased risk of bleeding. A water-soluble ointment will prevent irritation without increasing the risk of bleeding.

B. Use a straight edge razor to shave: Straight razors can increase the risk of cuts and bleeding. Instead, the client should use an electric razor to minimize the risk of injury.

C. Blow nose gently: Clients with thrombocytopenia should be instructed to blow their nose gently to avoid causing trauma to the nasal mucosa and increasing the risk of bleeding. Vigorous nose blowing can cause small blood vessels in the nose to rupture.

D. Limit fruit consumption: There is no indication that fruit consumption should be limited in clients with thrombocytopenia unless the client has other dietary restrictions. Fruits are an important part of a balanced diet.

E. Brush teeth with a soft toothbrush: A soft toothbrush should be used to prevent gum injury and minimize the risk of bleeding when brushing teeth. A hard toothbrush could cause trauma to the gums, leading to bleeding.

A. The student should use his quick-relief inhaler. B. The student's asthma is not well controlled. C. The nurse should obtain a second expiratory flow rate. D. The student needs to go to the hospital. E. The student's peak flow is 50% to 80% of his best peak flow.

Correct Answer is ["A","B","E"]

Explanation

A. The student should use his quick-relief inhaler: The yellow zone indicates that the asthma is worsening, and the student should use a quick-relief inhaler (e.g., albuterol) to help relieve symptoms and prevent further exacerbation.

B. The student's asthma is not well controlled: The yellow zone typically suggests that asthma is not well controlled, and the student may be experiencing some symptoms (e.g., coughing, wheezing, shortness of breath). This requires action to prevent further worsening.

C. The nurse should obtain a second expiratory flow rate: Repeating the peak flow measurement is not always necessary. If the student is already in the yellow zone, it’s more important to initiate management and then reassess the symptoms and peak flow afterward.

D. The student needs to go to the hospital: A yellow zone reading does not necessarily mean the student needs to go to the hospital. It indicates the need for intervention but is not an emergency situation like the red zone would be, which requires immediate medical attention.

E. The student's peak flow is 50% to 80% of his best peak flow: The yellow zone is defined as 50% to 80% of the individual's best peak flow. This indicates that asthma symptoms are present and worsening but not yet at a critical level that would place the student in the red zone.

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The nurse is assessing several clients. Which client does the nurse determine is most likely to have Hodgkin lymphoma?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is creating a teaching plan for a client who has thrombocytopenia. Which of the following instructions should the nurse include? (Select all that apply.)

Correct Answer is ["A","C","E"]

Explanation

A college health nurse interprets the peak expiratory flow rate for a student who has asthma and finds that the student is in the yellow zone of his asthma action plan. The nurse should base her actions on which of the following information? (Select all that apply.)

Correct Answer is ["A","B","E"]

Explanation

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