Hodgkin’s Disease

19 Questions | By Rnpedia | Last updated: Mar 22, 2022 | Total Attempts: 8609

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Questions and Answers

1.

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.
  
  “Perhaps you should ask the doctor about medication.”
- C.
  
  “Tell me a little bit more about your fear of dying.”
- D.
  
  “Most people with stage I Hodgkin’s disease survive.”
2.

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.
  
  Check the skin for signs of redness or peeling.
- B.
  
  Apply alcohol-free lotion to the area after cleaning.
- C.
  
  Explain good skin care to the client and family.
- D.
  
  Clean the skin over daily with a mild soap.
3.

After receiving the change-of-shift report, which client will you assess first?
- A.
  
  A 20-year-old with possible acute myelogenous leukemia who has just arrived on the medical unit
- B.
  
  A 38-year-old with aplastic anemia who needs teaching about decreasing infection risk prior to discharge
- C.
  
  A 40-year-old with lymphedema who requests help to put on compression stockings before getting out of bed
- D.
  
  A 60-year-old with non-Hodgkin’s lymphoma who is refusing the ordered chemotherapy regimen
4.

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.
  
  Tissue integrity related to prolonged bed rest
- D.
  
  Fatigue related to chemotherapy
5.

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?
- A.
  
  Painful cervical lymph nodes.
- B.
  
  Night sweats and fatigue.
- C.
  
  Nausea and vomiting.
- D.
  
  Weight gain.
6.

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.
  
  Reed-Sternberg cells.
- B.
  
  Lymphoblastic cells.
- C.
  
  Gaucher's cells.
- D.
  
  Rieder's cells
7.

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.
  
  Children (ages 6-12 years)
- B.
  
  Teenagers (ages 13-20 years)
- C.
  
  Young adults (ages 21-40 years)
- D.
  
  Older adults (ages 41-50 years)
8.

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.
  
  Fatigue
- B.
  
  Weakness
- C.
  
  Weight gain
- D.
  
  Enlarged lymph nodes
9.

The nurse is aware that the following symptoms is most commonly an early indication of stage 1 Hodgkin’s disease?
- A.
  
  Pericarditis
- B.
  
  Night sweat
- C.
  
  Splenomegaly
- D.
  
  Persistent hypothermia
10.

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
11.

A client admitted with newly diagnosed with Hodgkin’s disease. Which of the following would the nurse expect the client to report?
- A.
  
  Lymph node pain
- B.
  
  Weight gain
- C.
  
  Night sweats
- D.
  
  Headache
12.

The two main groups of lymphoma in humans are Hodgkin lymphoma and the non-Hodgkin Lymphomas (NHL).
- A.
  
  True
- B.
  
  False
13.

Hodgkin lymphoma, named for Thomas Hodgkin, is an American physician who identified it in 1832.
- A.
  
  True
- B.
  
  False
14.

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.
  
  True
- B.
  
  False
15.

Non-Hodgkin lymphoma can spread to almost any part of the body, including the liver, bone marrow, and spleen.
- A.
  
  True
- B.
  
  False
16.

Sex is one of the risk factors for developing NHL, but race is not.
- A.
  
  True
- B.
  
  False
17.

People infected with HIV are more likely to develop lymphatic disease.
- A.
  
  True
- B.
  
  False
18.

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.
  
  True
- B.
  
  False
19.

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