Deck 32: Caring for Clients With Disorders of the Lymphatic System

Question 1

A 55-year-old female client has developed lymphedema post-mastectomy. What is the common method used to promote lymphatic drainage and prevent edema in all clients with lymphedema?

A) Reduce the intake of fluids.
B) Avoid exercising the affected part.
C) Decrease the intake of sodium and calcium.
D) Elevate the affected part of the body.

Answer 1

Elevate the affected part of the body.

Question 2

A client has just been admitted to your unit with a diagnosis of Hodgkin's disease. When doing the initial assessment, what pertinent questions should the nurse ask the client to help determine the correct nursing diagnosis?

A) Are you experiencing fever, chills, or night sweats?
B) Do you use artificial respirators?
C) Have you ever had a blood transfusion?
D) Have you ever experienced fractures?

Answer 2

Are you experiencing fever, chills, or night sweats?

Question 3

An 18-year-old diagnosed with Hodgkin's disease asks you what Hodgkin's disease is. What would be your best response?

A) It is a cancer that enlarges lymphoid tissue and invades other tissues.
B) It is a cancer of the bone marrow and lungs.
C) It is a cancer that spreads throughout the body.
D) It is a cancer of the blood and lungs.

Answer 3

It is a cancer that enlarges lymphoid tissue and invades other tissues.

Question 4

A 24-year-old female client has been diagnosed with primary lymphedema. The client asks the nurse what causes lymphedema. What would be the nurses' best response?

A) Primary lymphedema is usually a congenital condition.
B) Primary lymphedema usually occurs when something blocks the lymph system.
C) Primary lymphedema is usually caused by a staphylococcal infection.
D) Primary lymphedema is usually a hereditary condition.

Question 5

A young male client is diagnosed with lymphosarcoma. The client is confined to bed for an extended period of time. The nurse needs to help the client perform the activities related to self-care. What strategies may the nurse use to help the client perform the simple activities of daily life?

A) Encourage the client to change bed sheets in case night sweats occur.
B) Motivate the client by committing to an early discharge from the hospital.
C) Provide the client with clear verbal instructions before beginning any activity.
D) Divide the care into manageable amounts and prioritize the activities.

Question 6

A male college student comes to the walk-in clinic complaining of extreme fatigue, sore throat, and enlarged lymph nodes that are tender. The student has been diagnosed with infectious mononucleosis affecting the tonsils. The student is concerned about spreading the disease. What measures should the nurse suggest to prevent the spread of mononucleosis?

A) Refrain from taking street drugs.
B) Increase the intake of calcium and potassium in the diet.
C) Refrain from sharing food and cigarettes with friends and peers.
D) Use cotton gloves.

Question 7

A client with lymphadenitis has developed persistent swelling of the affected area. What would be important information for you to teach this client?

A) How to apply an elastic sleeve or stocking.
B) How to apply ice to the affected area.
C) How to do exercises to increase blood flow in the area.
D) How to dependently do activities of daily living.

Question 8

Your client is receiving chemotherapy for a diagnosis of lymphosarcoma. The client experiences nausea. What measures should the nurse suggest to help the client reduce the feeling of nausea?

A) Administer immunosuppressive drugs.
B) Apply ice to the skin for brief periods.
C) Offer clear liquids such as carbonated beverages, water, and ice pops.
D) Advise bed rest as much as possible.

Question 9

You are teaching a pathophysiology course for pre-nursing students. You are teaching about malignancies. What is a common form of lymphoma you would list for the students?

A) Hodgeman's lymphoma
B) Nonhodgeman's lymphoma
C) Non-Hodgkin's lymphoma
D) Hodgkam's lymphoma

Question 10

The nurse is caring for a client who is suspected of having Hodgkin's disease. Diagnostic laboratory tests have been drawn. You would know that the malignant cells diagnostic of Hodgkin's disease are what?

A) Epstein-Barr cells
B) Killer T cells
C) Malignant granulocytes
D) Reed-Sternberg cells

Question 11

An 18-year-old male has been admitted to your unit for Hodgkin's disease. The client asks you what treatment they are going to have. What would be your best response?

A) You will be given localized radiation to the affected nodes.
B) You will have a mixture of chemotherapy drugs.
C) You will have localized radiation to the affected lymph nodes and chemotherapy.
D) You will have generalized radiation and chemotherapy.

Question 12

A client undergoing care for Hodgkin's disease has developed pruritus. What interventions should a nurse perform to ensure the client's skin will remain intact throughout the care?

A) Place the client in high Fowler's position.
B) Apply ice to the skin for brief periods.
C) Avoid soap for bathing.
D) Pull the client across sheets when changing positions.

Question 13

A 16-year-old female client is diagnosed with infectious mononucleosis. The client's mother asks you what the client can do to help herself get better. What would be your best advice?

A) Passive range-of-motion exercises
B) To rest as much as possible
C) Eat six small meals daily
D) Increase fluid intake

Question 14

A young client has just been diagnosed with lymphoma. The client asks you what a lymphoma is. What would be your best answer?

A) It is a group of cancers that affect the body.
B) It is a group of cancer connected to the hematopoietic system.
C) It is a group of cancers that affect the lymphatic system.
D) It is a group of cancers connected to the cardiovascular system.

Question 15

You are caring for a 72-year-old client with non-Hodgkin's lymphoma. The client is trying to decide what treatment they are willing to accept. What is an important nursing function when caring for an older client with non-Hodgkin's lymphoma?

A) Client teaching on transfusions
B) Assisting in planning for cardiopulmonary resuscitation
C) Client teaching on the functional status of the renal system
D) Assisting in planning for end-of-life concerns

Question 16

You are caring for a client with Hodgkin's disease who has developed respiratory distress. What measures should be taken by the nurse to help the client get relief?

A) Change the position of the client.
B) Keep the neck in midline and place the client in a high Fowler's position.
C) Administer oxygen immediately.
D) Administer oral or topical antipruritic medication.

Question 17

The Family Nurse Practitioner is performing a physical assessment on a client with a suspected lymphatic disorder. What would be theNurse Practitioner's primary assessment for all clients with lymphatic disorders?

A) Fever and sore throat
B) Painful joints
C) Signs of leukopenia and thrombocytopenia
D) Enlargement of the lymph glands

Question 18

The nurse is caring for a client diagnosed with infectious mononucleosis who is having trouble eating. What would the nurse advise this client to improve their oral intake?

A) Eat warm food and drink warm liquids.
B) Eat soft bland foods and drink cool liquids.
C) Avoid spicy foods and drink warm liquids.
D) Eat soft bland foods and drink warm liquids.

Question 19

The Epstein-Barr virus appears to play a role in the cause of Hodgkin's disease. It seems to cause mutations in some but not all lymphocytes, creating malignant cells known as Reed-Sternberg cells. The virus is also believed to what?

A) Inactivate the immune system's ability to suppress tumor growth
B) Contain inflammatory symptoms like pain and fever
C) Causes a typical allergic/immune response
D) Activate the immune system's response to the virus.

Question 20

The nurse is caring for a client with Hodgkin's disease who has developed anemia. What would you expect would be ordered for this client?

A) Lower doses of radiation
B) Transfusions
C) A break in chemotherapy
D) Increased rest and fluid

Question 21

You are caring for a client newly admitted to the unit with a diagnosis of lymphangitis. What interventions would you institute to help promote the resolution of the lymphangitis? Select all that apply.

A) Apply ice to the area.
B) Notes the response to antibiotic therapy.
C) Encourages independent activities of daily living.
D) Elevate the area.
E) Apply warm soaks/compresses to the area.

Question 22

A female 24-year-old client with severe lymphedema has refused to see visitors. How could the nurse support the client's self-image?

A) Suggesting activities that can be done independently
B) Suggesting the development of one or two close friendships
C) Suggesting clothes that conceal abnormal enlargement of an arm or leg
D) Suggesting support groups that deal with decreased self-image

Question 23

When caring for a client with lymphedema what would be an appropriate nursing action?

A) Encourage the client to exercise the affected arm or leg.
B) Apply warm compresses/soaks.
C) Apply ice.
D) Encourage the client to rest the affected extremity.

Question 24

A 16-year-old male client is in the burn unit following a motor vehicle accident. The nurse notes nonpitting edema in the client's left calf. What would the nurse document about this finding?

A) 3+ edema of the left calf
B) Secondary edema of the left calf
C) Nonpitting primary edema of the left calf
D) Primary edema of the left calf