When caring for a child with lymphoma, the nurse needs to be aware of which of the following?
1. The same staging system is used for lymphoma and Hodgkin disease.
2. Aggressive chemotherapy with central nervous system prophylaxis will give the child a good prognosis.
3. All children with lymphoma need a bone marrow transplant for a good prognosis.
4. Despite high-dose chemotherapy, the prognosis is very poor for most children.
2. Aggressive chemotherapy with central nervous system prophylaxis will give the child a good prognosis.
rationale for each:
1. The clinical staging system used in Hodgkin disease is of little value in lymphoma. Other systems have been developed.
2. The use of aggressive combination chemotherapy has a major impact on the survival rates for children with a diagnosis of lymphoma. Because there is usually bone marrow involvement, there is a need for central nervous system prophylaxis.
3. Not all children receive a bone marrow transplant.
4. Usually there is a good prognosis for lymphoma with aggressive chemotherapy.
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