Question 1

A client is diagnosed with a rare lymphoma that reveals Reed-Sternberg cells.The nurse notes a painless swelling in a lymph node and suspects this client's condition is:

Accepted Answer

Hodgkin's lymphoma is a disease of unknown origin that usually begins with painless swelling of lymph nodes in the neck but may involve lymph nodes in the axillary,inguinal,mediastinal,and mesenteric regions.Other symptoms may include weight loss,anorexia,fatigue,pruritus,fever,chills,night sweats,anemia,thrombocytopenia,and decreased resistance to infection.

Question 2

Which of these statements about myeloma is TRUE?

Accepted Answer

Bone pain is usually the initial symptom of multiple myeloma,particularly pain in the ribs,spine,and pelvis;long bones ache and joints are swollen and tender,accompanied by low-grade fever,fatigue,and weakness.Medical management is primarily directed toward treating the client's symptoms;radiation and chemotherapy may be used to reduce tumor size and growth.Nursing care focuses on relieving the client's pain,minimizing risk for injury,and preventing infections.The client is encouraged to remain mobile as long as possible and to eat small meals frequently throughout the day.

Question 3

A client who has Hodgkin's lymphoma with mediastinal involvement would be treated with:

Accepted Answer

Medical management depends on the stages of the disease: radiation therapy is used for stages I and II and for clients who have mediastinal involvement.A combination of radiation therapy and chemotherapy is administered to those who have relapsed after radiation therapy alone.A variety of medications may be used in symptomatic treatment or in conjunction with radiation therapy.

Question 4

The nurse is caring for a client with a diagnosis of Hodgkin's lymphoma.Which of the following would the nurse expect to see documented in the client's record? (Select all that apply. )

Accepted Answer

Hodgkin's lymphoma is a disease of unknown origin that usually begins with painless swelling of lymph nodes in the neck but may involve lymph nodes in the axillary,inguinal,mediastinal,and mesenteric regions.Other symptoms may include weight loss,anorexia,fatigue,pruritus,fever,chills,night sweats,anemia,thrombocytopenia,and decreased resistance to infection.

Question 5

A nurse is caring for a client with a diagnosis of Hodgkin's disease.Which of the following findings would the nurse MOST likely expect to see documented in the client's record?

Accepted Answer

Hodgkin's lymphoma is a disease of unknown origin that usually begins with painless swelling of lymph nodes in the neck but may involve lymph nodes in the axillary,inguinal,mediastinal,and mesenteric regions.Other symptoms may include weight loss,anorexia,fatigue,pruritus,fever,chills,night sweats,anemia,thrombocytopenia,and decreased resistance to infection.

Question 6

A nurse is reviewing the laboratory results of a client that has been diagnosed with multiple myeloma.The nurse would expect to find which of the following with this diagnosis?

Accepted Answer

Bone pain is usually the initial symptom of multiple myeloma,particularly pain in the ribs,spine,and pelvis;long bones ache and joints are swollen and tender,accompanied by low-grade fever,fatigue,weakness,and hypercalcemia as a result of the release of calcium from the deteriorating bone.

Question 7

When a client who has Hodgkin's lymphoma is having radiation therapy or chemotherapy,it is important for the nurse to:

Accepted Answer

Nursing care for Hodgkin's lymphoma focuses on monitoring the client for symptoms of disease progression and for response to treatment,particularly respiratory patterns;reducing client risk for infection,which increases with radiation and chemotherapy;and improving the client's nutritional and hydration status.

Question 8

A nurse is assisting in developing a plan of care for the client with the presence of a blood disorder.Assessment data for this client would MOST likely include which of the following? (Select all that apply. )

Accepted Answer

Assessment data for a client with the presence of blood disorders include monitoring for pallor,purpura,petechiae,ecchymosis,and spider angiomas.

Question 9

A nurse is assisting in developing a plan of care for the client with multiple myeloma.A priority nursing intervention for a client with multiple myeloma is which of the following?

Accepted Answer

Hypercalcemia secondary to bone destruction is a priority concern in the client with multiple myeloma.The fluid is needed to assist with diluting the serum calcium level.

Quiz 37: Hematologic and Lymphatic Systems

A client is diagnosed with a rare lymphoma that reveals Reed-Sternberg cells.The nurse notes a painless swelling in a lymph node and suspects this client's condition is:

Which of these statements about myeloma is TRUE?

A client who has Hodgkin's lymphoma with mediastinal involvement would be treated with:

The nurse is caring for a client with a diagnosis of Hodgkin's lymphoma.Which of the following would the nurse expect to see documented in the client's record? (Select all that apply. )

A nurse is caring for a client with a diagnosis of Hodgkin's disease.Which of the following findings would the nurse MOST likely expect to see documented in the client's record?

A nurse is reviewing the laboratory results of a client that has been diagnosed with multiple myeloma.The nurse would expect to find which of the following with this diagnosis?

When a client who has Hodgkin's lymphoma is having radiation therapy or chemotherapy,it is important for the nurse to:

A nurse is assisting in developing a plan of care for the client with the presence of a blood disorder.Assessment data for this client would MOST likely include which of the following? (Select all that apply. )

A nurse is assisting in developing a plan of care for the client with multiple myeloma.A priority nursing intervention for a client with multiple myeloma is which of the following?