Which explanation will the nurse give a patient with non-Hodgkin lymphoma about the purpose of a planned lumbar puncture?
To rule out any bone marrow involvement.
To determine the level of cell differentiation.
To establish which lymph cell type is involved.
To find any central nervous system involvement.
The Correct Answer is D
Choice A rationale:
A lumbar puncture is not typically performed to rule out bone marrow involvement in non-Hodgkin lymphoma. Imaging studies and bone marrow biopsies are more appropriate for evaluating bone marrow involvement.
Choice B rationale:
Determining the level of cell differentiation is not the primary purpose of a lumbar puncture in non-Hodgkin lymphoma. This information is usually obtained from a biopsy of the affected lymph nodes or organs.
Choice C rationale:
Identifying the specific lymph cell type involved is not the main objective of a lumbar puncture in non-Hodgkin lymphoma. This information is usually determined through lymph node biopsy and other imaging studies.
Choice D rationale:
The purpose of a lumbar puncture in non-Hodgkin lymphoma is to find any central nervous system involvement. Lymphoma cells can spread to the central nervous system, and a lumbar puncture allows for the examination of cerebrospinal fluid to detect any cancerous cells, which can guide treatment decisions.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
While pregnancy can contribute to increased blood pressure, it is not the priority question in this scenario. The sudden rise in blood pressure could indicate a hypertensive crisis, which needs immediate attention.
Choice B rationale:
Urination is not directly related to sudden rises in blood pressure. While urinary issues could be a sign of certain conditions, they are not the priority when dealing with a hypertensive emergency.
Choice C rationale:
A sudden rise in blood pressure can lead to symptoms such as headache and confusion, which could indicate a hypertensive crisis. This question is crucial to assess neurological symptoms, which can be indicative of target organ damage due to hypertension.
Choice D rationale:
Antiseizure medications are not directly related to sudden increases in blood pressure. Neurological symptoms (like those in choice C) are more indicative of a hypertensive crisis and require immediate attention.
Correct Answer is C
Explanation
Choice A rationale:
While magnesium is indeed the most abundant intracellular cation in the body, this fact alone does not explain why the nurse would assess the patient's magnesium level.
Choice B rationale:
Magnesium imbalance can cause issues in the extracellular fluid compartment, but this choice does not explain why the nurse would specifically assess the patient's magnesium level.
Choice D rationale:
While hypotension can be a symptom of severe magnesium deficiency, this choice does not provide a rationale for assessing the patient's magnesium level. In this case, choice C is correct because magnesium plays a crucial role in neuromuscular excitability and contractility. Abnormal magnesium levels can lead to neuromuscular symptoms such as muscle weakness, tremors, and spasms. Additionally, magnesium is involved in cardiac muscle function, and low magnesium levels can lead to arrhythmias and other cardiac issues. Therefore, assessing the patient's magnesium level is essential in understanding their neuromuscular and cardiac health.
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