ATI LPN
Timby's Introductory Medical-Surgical Nursing Thirteenth, North American Edition
Chapter 32 : Caring for Clients With Disorders of the Lymphatic System Questions
Question 1 of 5
The nurse is caring for a group of clients. Which client does the nurse suspect is most likely to have mononucleosis?
Correct Answer: B
Rationale: The virus most commonly affects young adults, especially those in close living quarters, such as armed services housing and college dormitories. Fatigue, fever, sore throat, headache, and cervical lymph node enlargement typically occur. The tonsils ooze white or greenish-gray exudates. Pharyngeal swelling can compromise swallowing and breathing. Some clients develop a faint red rash on their hands or abdomen. The liver and spleen become enlarged. The other clients with presenting symptoms do not correlate with the symptoms of mononucleosis.
Question 2 of 5
A teenaged client arrives at the clinic and reports having attended 2 weeks of summer camp last month and now is not feeling well with complaints of sore throat, fever, and feeling very tired. The nurse observes white exudate on the tonsils. What test does the nurse anticipate the physician will order for this client?
Correct Answer: A
Rationale: A positive slide agglutination test (Monospot, Monotest, Monosticon) is presumptive evidence that the Epstein-Barr virus is causing the symptoms. A rise in the Epstein-Barr virus antibody titer and a heterophil agglutination test result of 1:224 or greater is conclusive for infectious mononucleosis. The AST and ALT would indicate possible liver disorders. A glucose level would not be indicative of Epstein-Barr virus. T3, T4, and TSH would be indicative of thyroid dysfunction, which the client's age and symptoms do not correlate with.
Question 3 of 5
A client with Hodgkin's disease has a weight loss of 10% of body weight 6 months prior to the diagnosis, fever of 101?°F, and drenching night sweats. What sub classification of Hodgkin's disease does this client fit into?
Correct Answer: B
Rationale: Stages I, II, III, and IV of adult Hodgkin's disease are subclassified into A and B categories: B for those with defined general symptoms and A for those without B symptoms. The B designation is given to client with any of the following symptoms: unexplained loss of more than 10% of body weight in 6 months before diagnosis, unexplained fever with temperatures over 100.4?°F, and drenching night sweats. There is no sub classification of C or D.
Question 4 of 5
A client with Hodgkin's disease has bilateral lymph nodes that are affected with extension through the spleen as well as affecting the bone marrow. What stage of the disease does the nurse recognize the client is in?
Correct Answer: D
Rationale: Stage IV involves bilateral lymph nodes affected and extension includes spleen plus one or more of the following: bones, bone marrow, lungs, liver, skin, gastrointestinal structures, or other sites. Stage I is single lymph node region. Stage II is two or more lymph node regions on one side of the diaphragm. Stage III is lymph node regions on both sides of the diaphragm, but extension is limited to the spleen.
Question 5 of 5
The nurse is caring for a client in the hospital who is being treated for Hodgkin's disease and is taking a chemotherapeutic regimen in the hospital's oncology unit. When reviewing the client's medication history, what regimen does the nurse recognize as the drugs in the treatment of Hodgkin's disease?
Correct Answer: B
Rationale: Doxorubicin, bleomycin, vinblastine, and dacarbarine are a combination of medications for the chemotherapeutic treatment of Hodgkin's disease. There are several different regimens that may be used but the medications in the other options are not used for the treatment of Hodgkin's disease.