Which is an expected physical assessment finding for an adolescent with a diagnosis of Hodgkin’s disease?

Enlarged painless, firm cervical lymph nodes.

Protuberant, firm abdomen.

Soft to hard, nontender mass in the pelvic area.

Painful bilateral inguinal lymph nodes.

Answer and Explanation

The Correct Answer is A

Choice A reason: This is the correct choice. Enlarged painless, firm cervical lymph nodes are a classic sign of Hodgkin’s disease.
Choice B reason: A protuberant, firm abdomen is not a specific finding associated with Hodgkin’s disease.
Choice C reason: A soft to hard, nontender mass in the pelvic area could indicate various conditions but is not specific to Hodgkin’s disease.
Choice D reason: Painful lymph nodes are more commonly associated with infections, not Hodgkin’s disease.

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Correct Answer is D

Explanation

Choice A reason: This statement is correct; early treatment for clubfoot is essential for the best outcomes.

Choice B reason: The parent's understanding of the need for long-term follow-up care until skeletal maturity is accurate.

Choice C reason: Regular visits for new casts are part of the standard treatment protocol for clubfoot.

Choice D reason: This statement indicates a misunderstanding. Clubfoot treatment typically involves a series of casts changed more frequently than 8-10 weeks apart, not a single spica cast for that duration. Further teaching is needed to correct this misconception.

A. Ask the client to choose which medication is needed for the pain. B. Document the client's report of pain in the electronic medical record. C. Compare the client's pain scale rating with the prescribed dosing. D. Determine which prescription will have the quickest onset of action.

Correct Answer is D

Explanation

Choice A reason: Asking the client to choose the medication is not appropriate as the nurse should use clinical judgment to select the medication based on effectiveness and onset of action.
Choice B reason: Documentation is important but should not precede the administration of pain relief.
Choice C reason: Comparing the pain scale rating with prescribed dosing is part of pain management, but the immediate concern is to relieve the pain as quickly as possible.
Choice D reason: This is the correct choice. The nurse should determine which medication will provide the quickest relief from pain, which is the client's immediate need.

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Which is an expected physical assessment finding for an adolescent with a diagnosis of Hodgkin’s disease?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which statement by the parent indicates a need for further teaching regarding clubfoot?

Correct Answer is D

Explanation

A postoperative client reports incisional pain. The client has two prescriptions for PRN analgesia that accompanied the client from the postanesthesia unit. Before selecting which medication to administer, which action should the nurse implement?

Correct Answer is D

Explanation

In an outpatient diabetic clinic, the nurse is assessing clients. Which entry provides the best indication that the client is adhering to the prescribed diabetic regimen?

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