The nurse is caring for a client with Hodgkin lymphoma. Which clinical manifestations can the nurse expect to find? (Select All that Apply.)

Painless, swollen lymph node

Generalized pruritis

Malaise

Cough

High fever

Answer and Explanation

Correct Answer : A,B,C

A. Painless lymphadenopathy, especially in the cervical, supraclavicular, or mediastinal areas, is a hallmark feature of Hodgkin lymphoma, reflecting the disease's characteristic pattern of lymph node involvement.
B. Pruritis can occur in Hodgkin lymphoma, and can either be focal or generalized.

C.   Generalized feelings of discomfort, fatigue, or unease are common in Hodgkin lymphoma due to the effects of the disease on the immune system, as well as potential systemic symptoms such as fever, night sweats, and weight loss.
D.   While cough can occur in advanced stages of Hodgkin lymphoma, it is not a defining clinical manifestation and is more commonly associated with respiratory infections or complications.

E.   Fever is one of the B symptoms which are associated with Hodgkin Lymphoma.

However, the fever is often low-grade and can be associated with Pel-Ebstein fever which is intermittent fever periods with high temperature followed by afebrile periods.

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Correct Answer is B

Explanation

A. Atrial fibrillation is characterized by rapid, irregular electrical impulses originating from the atria, resulting in a quivering or fibrillating motion of the atria rather than a coordinated contraction.
B. Asystole is the absence of any electrical activity on the cardiac monitor, resulting in a flat line. It indicates the absence of ventricular contraction and is considered a medical emergency requiring immediate intervention (CPR and advanced cardiac life support).
C. Ventricular fibrillation is characterized by chaotic, disorganized electrical activity in the ventricles, resulting in ineffective quivering of the ventricles and loss of cardiac output.
D. Atrial flutter is characterized by rapid but regular electrical impulses originating from the atria, resulting in a sawtooth pattern on the ECG tracing.

A. Renal calculi B. Hypovolemia C. inactivity D. Nephrotoxic drugs

Correct Answer is B

Explanation

A. While renal calculi (kidney stones) can cause renal issues, they are not directly related to diminished renal output in this scenario. Hypovolemia, or low blood volume, is more pertinent to the patient's presentation of scant voiding and inability to eat or drink.
B. Diminished renal output, as evidenced by scant voiding, can be indicative of hypovolemia. Hypovolemia reduces kidney perfusion, leading to decreased urine output as the kidneys conserve fluid.
C. While inactivity can contribute to various health issues, it's not directly related to diminished renal output in this case. The primary concern is addressing the immediate physiological impact of decreased renal function.

D. While nephrotoxic drugs can impair renal function, there's no indication in the scenario that the patient has been exposed to such drugs. Thus, they are not directly relevant to the current situation.

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The nurse is caring for a client with Hodgkin lymphoma. Which clinical manifestations can the nurse expect to find? (Select All that Apply.)

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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

Correct Answer is B

Explanation

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