What is a characteristic manifestation of Hodgkin's disease?

Enlarged lymph nodes

Erythematous rash

Petechiae

Pallor

Answer and Explanation

The Correct Answer is A

A. Enlarged lymph nodes: Painless cervical lymphadenopathy is the hallmark sign of Hodgkin's lymphoma. Nodes are often firm, rubbery, and non-tender.

B. Erythematous rash: Not characteristic of Hodgkin’s.

C. Petechiae: Suggests platelet disorder or leukemia.

D. Pallor: May occur with anemia but is not a defining feature.

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Correct Answer is A

Explanation

A. Cardiovascular: Kawasaki disease is a systemic vasculitis that primarily affects the cardiovascular system. It can lead to complications like coronary artery aneurysms and myocarditis.

B. Integumentary: Although the disease presents with skin symptoms (rash, peeling), they are secondary manifestations.

C. Gastrointestinal: GI symptoms may occur but are not the main focus.

D. Respiratory: Kawasaki disease does not primarily involve the respiratory system.

A. Tell the parent that the child must stay in the tent. B. Call the pediatrician and obtain a prescription for a mild sedative. C. Let the parent hold the child and direct the cool mist over the child's face. D. Place a toy in the tent to make the child feel more comfortable.

Correct Answer is C

Explanation

A. Tell the parent that the child must stay in the tent. This lacks empathy and may increase the child’s anxiety. Forcing a frightened child to stay in the tent may worsen distress and respiratory symptoms.

B. Call the pediatrician and obtain a prescription for a mild sedative. Sedation is not a first-line intervention in a child with croup and can depress respiratory effort-potentially dangerous.

C. Let the parent hold the child and direct the cool mist over the child's face. This maintains the therapeutic effect of the mist while providing comfort and reducing distress, which helps prevent worsening of symptoms like stridor.

D. Place a toy in the tent to make the child feel more comfortable. While toys can distract, this does not address the child’s distress and desire to be held. It’s not an effective or immediate solution.

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What is a characteristic manifestation of Hodgkin's disease?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a child who has Kawasaki disease. Which of the following systems is primarily affected by this disease?

Correct Answer is A

Explanation

A child with laryngotracheobronchitis (croup) is placed in a cool mist tent. The parent becomes concerned because the child is frightened, consistently crying, and trying to climb out of the tent. Which is the most appropriate nursing action?

Correct Answer is C

Explanation

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