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.

Answer and Explanation

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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Correct Answer is C

Explanation

Choice A rationale: Drinking 14 glasses of water daily is not specifically harmful for patients with thrombocytopenia, though it is important to ensure fluid intake is balanced with the individual's needs. However, excessive water intake is generally not related to increased bleeding risks, which is a primary concern for patients with low platelet counts.

Choice B rationale: Shaving once a day using an electric razor is an appropriate precaution for patients with thrombocytopenia. Electric razors are less likely to cause cuts compared to traditional razors, thereby reducing the risk of bleeding. This measure is important for individuals with low platelet counts to minimize the risk of bleeding from minor injuries.

Choice C rationale: Using an alcohol-based mouthwash twice a day is not recommended for patients with thrombocytopenia. Alcohol-based mouthwash can cause dryness and irritation of the mucous membranes, which may lead to bleeding, especially in individuals with low platelet counts. Instead, non-alcoholic mouthwashes should be used to maintain oral hygiene without the risk of causing mucosal damage.

Choice D rationale: Brushing teeth with a soft-bristle toothbrush twice a day is recommended for patients with thrombocytopenia. Soft-bristle toothbrushes help reduce the risk of gum injury and bleeding, which is important for individuals with low platelet counts. Maintaining good oral hygiene with minimal trauma is crucial for these patients

A. Palpitations. B. Conjunctival pallor. C. Sternal tenderness. D. Heart rate of 104 beats/min.

Correct Answer is ["B","D"]

Explanation

Choice A rationale:

Palpitations are not directly related to a low hemoglobin level. They can occur due to various cardiac conditions but are not specific to anemia.

Choice B rationale:

Conjunctival pallor is a common physical finding in patients with low hemoglobin levels (anemia) Anemia leads to reduced oxygen-carrying capacity, causing paleness in mucous membranes such as the conjunctiva.

Choice C rationale:

Sternal tenderness is not a typical finding associated with low hemoglobin levels. It is more often associated with conditions affecting the sternum or adjacent structures, such as infections or inflammation.

Choice D rationale:

A heart rate of 104 beats/min can be a compensatory response to anemia. When the body senses reduced oxygen levels due to anemia, the heart rate may increase to pump more blood and oxygen to vital organs, attempting to compensate for the low hemoglobin levels.

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Which explanation will the nurse give a patient with non-Hodgkin lymphoma about the purpose of a planned lumbar puncture?

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Naxlex Comprehensive Predictor Exams

The nurse provides education to a patient with thrombocytopenia about precautions to be taken at home. The nurse identifies that further teaching is needed when the patient performs which action?

Correct Answer is C

Explanation

Which finding would the nurse expect to see in a patient with a hemoglobin level of 8 g/dL? Select all that apply.One, some, or all responses may be correct.

Correct Answer is ["B","D"]

Explanation

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