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 B

Explanation

A. It is primarily transmitted through casual contact: HIV is not transmitted through contact such as shaking hands, hugging, or sharing drinks. This is a misconception; HIV requires direct contact with infected body fluids like blood, semen, vaginal fluids, and breast milk.

B. It is primarily transmitted through direct contact with infected body fluids: HIV is primarily transmitted through contact with infected body fluids, such as through unprotected sexual contact, sharing needles, or from mother to child during childbirth or breastfeeding.

C. It is primarily transmitted through accidental puncture wounds: While accidental puncture wounds can be a risk for healthcare workers, this is not the primary mode of HIV transmission. Most transmissions occur through sexual contact or sharing contaminated needles.

D. It is primarily transmitted through mosquitoes: HIV is not transmitted through mosquitoes or other insects. It is a blood-borne virus and does not survive or replicate in mosquitoes, making this a myth.

A. "Your body may not have developed antibodies yet, so we need to follow up." B. "You're one of the lucky ones who are immune to the virus." C. "Congratulations, a negative result means that you're not infected with the virus." D. "You might still go on to develop AIDS even with negative results."

Correct Answer is A

Explanation

A. "Your body may not have developed antibodies yet, so we need to follow up.": It can take several weeks to months for the body to produce detectable antibodies after HIV exposure. Follow-up testing is essential to ensure the person remains HIV-negative or to detect early infection.

B. "You're one of the lucky ones who are immune to the virus.": There is no immunity to HIV, and this could provide false reassurance to the client. A negative result simply means no infection has been detected at the time of testing.

C. "Congratulations, a negative result means that you're not infected with the virus.": This explanation is premature as a negative test result is not definitive in the early stages of exposure, as it may take time for antibodies to develop. Follow-up testing is necessary to confirm the status.

D. "You might still go on to develop AIDS even with negative results.": AIDS develops only after a person has been infected with HIV. A negative result indicates that the person is not currently infected, but they may need further testing to rule out early infection.

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

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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

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Correct Answer is A

Explanation

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