Hematologic Disorders NCLEX Questions Quizlet

Extract:

Question 1 of 5

The client has undergone a lymph node biopsy to differentiate between Hodgkin’s and non-Hodgkin’s lymphoma. After reviewing the client’s lymph node biopsy results, which revealed that the client has Hodgkin’s lymphoma, the nurse should obtain which educational brochure?

Correct Answer: D

Rationale: A. Reticulocytes are found in a CBC, not from a lymph node biopsy, and are not indicative of either Hodgkin’s or non-Hodgkin’s lymphoma. B. CA-125 tumor markers are sometimes used in the management of ovarian cancer. C. WBCs are collected from a complete blood panel, not a lymph node biopsy, and could be indicative of other lymphomas and/or leukemia. D. The nurse should obtain the brochure that explains about Reed-Sternberg cells. The main diagnostic feature of Hodgkin’s lymphoma is the presence of Reed-Sternberg cells in a lymph node biopsy.

Question 2 of 5

A 19-year-old college student reports to the health service with a sore throat, malaise, and fever of four days in duration. Examination shows cervical lymphadenopathy and splenomegaly. Temperature is 103Â°F. Blood is positive for heterophil antibody agglutination test. Which condition does the nurse expect this student to have?

A. Streptococcal sore throat B. Infectious mononucleosis C. Rubella D. Influenza

Correct Answer: B

Rationale: The symptoms and positive heterophil antibody test are diagnostic for infectious mononucleosis.

Question 3 of 5

The nurse is admitting a client with a diagnosis of rule-out Hodgkin's lymphoma. Which assessment data support this diagnosis?

A. Night sweats and fever without 'chills.' B. Edematous lymph nodes in the groin. C. Malaise and complaints of an upset stomach. D. Pain in the neck area after a fatty meal.

Correct Answer: A

Rationale: Night sweats and fever (
A) are classic Hodgkin’s B symptoms. Edematous nodes (
B) are not typical (firm, non-tender), malaise/stomach (
C) is nonspecific, and neck pain (
D) suggests gallbladder issues.

Question 4 of 5

Which information about reproduction should be taught to the 27-year-old female client diagnosed with Hodgkin's disease?

A. The client’s reproductive ability will be the same after treatment. B. The client should practice birth control for at least two (2) years following therapy. C. All clients become sterile from the therapy and should plan to adopt. D. The therapy will temporarily interfere with the client’s menstrual cycle.

Correct Answer: D

Rationale: Hodgkin’s therapy (chemo/radiation) often temporarily disrupts menstruation (
D). Fertility may recover (A, C incorrect), and birth control (
B) is advised during treatment, not 2 years post.

Question 5 of 5

The nurse working in the bloodmobile is screening clients to determine if they qualify for blood donation of whole blood. Besides asking for identification and age, which questions should the nurse ask during the screening interview?

A. “If you have a tattoo, on what date did you receive the tattoo?” B. “Have you had any close contact with anyone with HIV or hepatitis?” C. “If you smoke, when was the last time you smoked tobacco products?” D. “When were you last immunized for rubella, mumps, or varicella?” E. “Did you receive blood products anywhere outside of the United States?”

Correct Answer: A, B, D, E

Rationale: Persons ineligible to donate blood include those with a history of a recent tattoo. B. Persons ineligible to donate blood include those who’ve had close contact with a person with HIV or hepatitis. C. Persons who smoke tobacco products may donate blood unless they have a recent history of asthma. D. Persons ineligible to donate blood include those immunized for rubella, mumps, or varicella within the last month. E. Persons ineligible to donate blood include those receiving transfusions in the United Kingdom, Gibraltar, or the Falkland Islands because of the increased likelihood of transmitting Creutzfeldt-Jakob disease.

Hematologic Disorders NCLEX Questions Quizlet | Nurselytic

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