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Fnsame Fnsame
wrote...
Posts: 588
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6 years ago
The nurse is caring for a patient with suspected Hodgkin's lymphoma (HL). For confirmation of this diagnosis, the nurse understands that the patient's blood work would reveal which type of abnormal cell?
 
  a. Abnormal B cells
  b. Abnormal T cells
  c. Cytotoxic T cells
  d. Reed-Sternberg (R-S) cells

Question 2

The nurse is caring for a patient with Guillain-Barr syndrome (GBS). Which area(s) should the care plan address? (Select all that apply.)
 
  a. Assessment of advancing paralysis
  b. Provision for ventilation support
  c. Maintenance of adequate nutrition
  d. Prevention of complications of immobility
  e. Assessment of hypertension

Question 3

When providing written discharge instructions, which information should the nurse include? (Select all that apply.)
 
  a. When to resume normal activity
  b. Signs and symptoms to report
  c. A list of probable complications
  d. The telephone number of the surgeon's office
  e. The need to delay driving and decision making

Question 4

The nurse is educating a patient with lymphoma. Which statement indicates that the patient correctly differentiates Hodgkin lymphoma (HL) and non-Hodgkin lymphoma (NHL)?
 
  a. Non-Hodgkin lymphoma is less predict-able and can spread faster.
  b. The first sign of Hodgkin lymphoma is that a single lymph node on one side of the body gets bigger.
  c. People who are older than 60 years are at a bigger risk than younger people.
  d. I will have to have a lot of blood work drawn.
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wrote...
6 years ago
The answer to question 1  D
If Reed-Sternberg (R-S) cells are present, the patient has Hodgkin's lymphoma (HL). If the R-S cells are not present, the patient is diagnosed as having non-Hodgkin's lymphoma (NHL). NHL is then identified as either B-cell or T-cell lymphoma.

The answer to question 2  A, B, C, D
The nurse should include assessment of paralysis, provision for ventilation support, nutritional maintenance, and prevention of complications from immobility. The care plan should address assessment of hypotension rather than hypertension.

The answer to question 3  A, B, D, E
The discharge instructions should include information about when to resume activity, signs and symptoms to report, contact information about the surgeon, and the need to delay driving and decision making.

The answer to question 4  A
NHL is less predictable and can spread faster than HL. Additionally, this statement features a comparison. NHL usually begins with unilateral, painless enlargement of a single lymph node. Expressing an understanding about implication of age as a risk factor or need for blood work does not differentiate specific details about either type of lymphoma.
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