Hodgkin's

Hodgkin lymphoma, named for Thomas Hodgkin, is an American physician who identified it in 1832. False True

False

The nurse understands that Hodgkin's disease is suspected when a client presents with a painless, swollen lymph node. Hodgkin's disease typically affects people in which age group? A Teenagers (ages 13-20 years) B Older adults (ages 41-50 years) C Children (ages 6-12 years) D Young adults (ages 21-40 years)

D Young adults (ages 21-40 years)

Hodgkin lymphoma may be cured with chemotherapy with almost no incidence of secondary acute nonlymphocytic leukemia within 10 years. A False B True

A False

Hodgkin lymphoma only occurs in a group of lymph nodes, not in a single lymph node or in other parts of the lymphatic system, such as the bone marrow and spleen. A False B True

A False

The nurse is aware that the following symptoms is most commonly an early indication of stage 1 Hodgkin's disease? A Night sweat B Pericarditis C Persistent hypothermia D Splenomegaly

A Night sweat

A client admitted with newly diagnosed with Hodgkin's disease. Which of the following would the nurse expect the client to report? A Night sweats B Lymph node pain C Weight gain D Headache

A Night sweats

A 21-year-old male with Hodgkin's lymphoma is a senior at the local university. He is engaged to be married and is to begin a new job upon graduation. Which of the following diagnoses would be a priority for this client? A Sexual dysfunction related to radiation therapy B Anticipatory grieving related to terminal illness C Fatigue related to chemotherapy D Tissue integrity related to prolonged bed rest

A Sexual dysfunction related to radiation therapy

You have developed the nursing diagnosis Risk for Impaired Tissue Integrity related to effects of radiation for a client with Hodgkin's lymphoma who is receiving radiation to the groin area. Which nursing activity is best delegated to a nursing assistant caring for the client? A Apply alcohol-free lotion to the area after cleaning. B Clean the skin over daily with a mild soap. C Explain good skin care to the client and family. D Check the skin for signs of redness or peeling.

B Clean the skin over daily with a mild soap.

Sex is one of the risk factors for developing NHL, but race is not. A True B False

B False

Non-Hodgkin lymphoma can spread to almost any part of the body, including the liver, bone marrow, and spleen. A False B True

B True

One of the symptoms for lymphatic disease is swelling of the lymph nodes; however, this symptom may be easily overlooked because the enlargement does not cause any pain. A False B True

B True

The two main groups of lymphoma in humans are Hodgkin lymphoma and the non-Hodgkin Lymphomas (NHL). A False B True

B True

Which of the following treatments is appropriate for a patient with Stage III Hodgkins Lymphoma? A. radiation therapy alone B. ABVD (doxorubicin, bleomycin, vinblastine, dacarbazine) C. diet modifications D. Rituximab, capecitabine, and Idelalisib regimen

B. ABVD (doxorubicin, bleomycin, vinblastine, dacarbazine)

A 22-year-old with stage I Hodgkin's disease is admitted to the oncology unit for radiation therapy. During the initial assessment, the client tells you, "Sometimes I am afraid of dying." Which response is most appropriate at this time? A "Many individuals with this diagnosis have some fears." B "Most people with stage I Hodgkin's disease survive." C "Tell me a little bit more about your fear of dying." D "Perhaps you should ask the doctor about medication."

C "Tell me a little bit more about your fear of dying."

After receiving the change-of-shift report, which client will you assess first? A A 38-year-old with aplastic anemia who needs teaching about decreasing infection risk prior to discharge B A 40-year-old with lymphedema who requests help to put on compression stockings before getting out of bed C A 20-year-old with possible acute myelogenous leukemia who has just arrived on the medical unit D A 60-year-old with non-Hodgkin's lymphoma who is refusing the ordered chemotherapy regimen

C A 20-year-old with possible acute myelogenous leukemia who has just arrived on the medical unit

A newly admitted client is diagnosed with Hodgkin's disease undergoes an excisional cervical lymph node biopsy under local anesthesia. What does the nurse assess first after the procedure? A Vital signs B Incision site C Airway D Level of consciousness

C Airway

A male client is admitted to the hospital with a suspected diagnosis of Hodgkin's disease. Which assessment findings would the nurse expect to note specifically in the client? A Weight gain B Weakness C Enlarged lymph nodes D Fatigue

C Enlarged lymph nodes

A client with microcytic anemia is having trouble selecting food items from the hospital menu. Which food is best for the nurse to suggest for satisfying the client's nutritional needs and personal preferences? A Vegetables B Tea C Egg yolks D Brown rice

D Brown rice

The Hodgkin's disease patient described in the question above undergoes a lymph node biopsy for definitive diagnosis. If the diagnosis of Hodgkin's disease were correct, which of the following cells would the pathologist expect to find? A Lymphoblastic cells. B Rieder's cells C Gaucher's cells. D Reed-Sternberg cells

D Reed-Sternberg cells

A patient is admitted to the oncology unit for diagnosis of suspected Hodgkin's disease. Which of the following symptoms is typical of Hodgkin's disease? Nausea and vomiting. B Painful cervical lymph nodes. Night sweats and fatigue. D weight gain

Night sweats and fatigue.

A client with anemia may be tired due to a tissue deficiency of which of the following substances? T-cell antibodies Oxygen C Factor VIII D Carbon dioxide

Oxygen

People infected with HIV are more likely to develop lymphatic disease. False True

True

The development of Hodgkin lymphoma has been linked to which of the following infections (select all that apply): a. Epstein Barr Virus b. HIV c. Influenza virus d. mononucleosis

a. Epstein Barr Virus b. HIV d. mononucleosis

ZI was diagnosed with stage 3 Hodgkin's lymphoma after he noticed a large growth on the left side of his neck last week. Today he is supposed to start cyclical chemotherapy. His regimen is known as the ABVD regimen . Select the four drugs that make up the ABVD regimena. a.Doxorubicin b. Bleomycin c. Vinblastine d. Dacarbazine e. Rituximab

a.Doxorubicin b. Bleomycin c. Vinblastine d. Dacarbazine

HL is a slow growing lymphoma that starts growing at one lymph node and spreads to nearby lymph nodes. This spread is known as ____. a. Linear spread b. Bimodal spread c. Contiguous spread d. Continuous spread

c. Contiguous spread

LH is determined to have stage 2 HL. Match stage 2 with its correct description a. One lymph node area involved b. Involving lymph nodes above and below the diaphragm and spleen c. Disease has spread outside of the lymph nodes to bone marrow and liver d. Involving >2 lymph nodes confined to one side of the diaphragm

d. Involving >2 lymph nodes confined to one side of the diaphragm