What is a common clinical manifestation of Hodgkin disease?
a. Petechiae
b. Bone and joint pain
c. Painful, enlarged lymph nodes
d. Nontender enlargement of lymph nodes
ANS: D
Asymptomatic, enlarged cervical or supraclavicular lymphadenopathy is the most common presentation of Hodgkin disease. Petechiae are usually associated with leukemia. Bone and joint pain are not likely in Hodgkin disease. The enlarged nodes are rarely painful.
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The nurse is participating in a process evaluation. The major focus of this type of evaluation is:
a. comparing the client's progress to the expected outcomes. b. measuring the adequacy of the facility to meet the needs of clients c. measuring the adequacy of nursing activities in implementing the nursing process. d. measuring the cost-effectiveness of nursing care.
The hospital policy and procedure manual states that medications should be charted immediately after administration. The nurse routinely charts the medications as they are being prepared for administration. What does this practice reflect?
1. Use of the two schools of thought doctrine 2. Logical and appropriate variation in practice 3. An honest error in judgment 4. A violation of hospital policy and procedure
During auscultation of the chest, the nurse hears soft, breezy, low-pitched sounds that are heard longer on inspiration than expiration. The nurse should record these as
a. bronchovesicular sounds c. bronchial sounds b. vesicular sounds d. adventitious sounds
The nurse suspects that a client is developing malignant hyperthermia. Which is the priority nursing intervention?
A. Administer dantrolene intravenously. B. Control associated symptoms. C. Discontinue the triggering prescription. D. Rapidly assess for supporting signs and symptoms.