The client is admitted to rule out a diagnosis of non-Hodgkin's lymphoma. Which assessment finding best indicates to the nurse that an older adult client has non-Hodgkin's lymphoma?
1. Pitting edema bilaterally
2. Difficulty with walking
3. Severe bone pain in the lower back
4. Diffuse lymph node enlargement
4. Diffuse lymph node enlargement
Explanation: 1. Bilateral edema can be the result of many causes in the older adult client, and it is not a disease-specific finding.
2. Ataxia and difficulty walking is not specifically associated with non-Hodgkin's lymphoma.
3. Severe bone pain in the lower back is associated with the malignant condition multiple myeloma.
4. In non-Hodgkin's lymphoma, the normal lymphoid tissue is replaced by malignant cells, leading to infection and immunodeficiency. Symptoms include lymph node enlargement.
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