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?

“Tell me a little bit more about your fear of dying.”

“Many individuals with this diagnosis have some fears.”

“Perhaps you should ask the doctor about medication.”

“Tell me a little bit more about your fear of dying.”

“Most people with stage I Hodgkin’s disease survive.”

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?

Clean the skin over daily with a mild soap.

Check the skin for signs of redness or peeling.

Apply alcohol-free lotion to the area after cleaning.

Explain good skin care to the client and family.

Clean the skin over daily with a mild soap.

After receiving the change-of-shift report, which client will you assess first?

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

A 38-year-old with aplastic anemia who needs teaching about decreasing infection risk prior to discharge

A 40-year-old with lymphedema who requests help to put on compression stockings before getting out of bed

A 60-year-old with non-Hodgkin’s lymphoma who is refusing the ordered chemotherapy regimen

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?

Sexual dysfunction related to radiation therapy

Anticipatory grieving related to terminal illness

Tissue integrity related to prolonged bed rest

Fatigue related to chemotherapy

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?

Young adults (ages 21-40 years)

Older adults (ages 41-50 years)

Hodgkin’s Disease

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Hodgkin’s Disease

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?

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?

After receiving the change-of-shift report, which client will you assess first?

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 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?

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?

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 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?

The nurse is aware that the following symptoms is most commonly an early indication of stage 1 Hodgkin’s disease?

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 client admitted with newly diagnosed with Hodgkin’s disease. Which of the following would the nurse expect the client to report?

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

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

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.

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

Sex is one of the risk factors for developing NHL, but race is not.

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

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.

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