Which characteristics should the oncology nurse expect when assessing a patient recently diagnosed with indolent non-Hodgkin lymphoma (NHL)?
A) No discernible symptoms
B) Painful lymphadenopathy
C) Night sweats and unexplained fever
D) Anemia and fatigue
A) No discernible symptoms
Explanation: A) Indolent tumors, also called low-grade tumors, grow slowly and often do not result in discernible symptoms for patients at the time of diagnosis. Indolent lymphomas are frequently found accidentally in the course of a workup for another disorder.
B) Lymphadenopathy or painless swelling of one or more lymph nodes (less than 1 centimeter) is the most common presenting sign of NHL. Lymphadenopathy, particularly nodes that are painful and localized, is a common manifestation of inflammation, particularly during an infectious process. However, these findings are not seen in indolent NHL.
C) B symptoms include night sweats, unexplained fever, severe fatigue, weight loss, and appetite loss. However, these symptoms are not seen in indolent NHL.
D) If the lymphoma involves the bone marrow, anemia may also be present, further contributing to fatigue. However, these manifestations of disease are not seen in indolent NHL.
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