The nurse is performing a physical exam on a child who presents with enlarged lymph nodes and general malaise. Differential diagnosis for diagnosis of Hodgkin's lymphoma would include which of the following assessment findings?
1. Fever and joint pain
2. Bruising and petechiae
3. Firm and non-tender lymph nodes
4. Enlarged and painful lymph nodes
3
Rationale:
1. Fever and joint pain are not physical findings in Hodgkin's disease.
2. Bruising and petechiae are not physical findings in Hodgkin's disease.
3. Firm, non-tender lymph nodes are classic findings in Hodgkin's disease.
4. Lymph nodes are usually not painful with Hodgkin's disease.
You might also like to view...
A postoperative abdominal surgery patient has been admitted to the surgical floor. The nurse is aware that wound healing is delayed owing to complications
Which conditions would prevent normal wound healing at the surgical site? (Select all that apply.) a. Dehiscence b. Evisceration c. Erythema and edema at the suture site d. Hemostasis e. Hemorrhage
When assessing a patient's nipples, which type of discharge suggests a serious disorder?
1) White discharge 2) Manually expressed discharge 3) Waxy discharge 4) Spontaneous discharge
A nurse is teaching a group of college students at a Catholic university about natural family planning (NFP)
Teaching was successful if the students say natural family planning is which of the following? Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply. 1. "It is free, safe, and acceptable according to our religion." 2. "It includes breastfeeding for 1 year." 3. "It is useful in helping us plan pregnancies." 4. "It allows us to safely have intercourse during our fertile days." 5. "It does not involve the use of artificial substances or devices."
The nurse assesses the postpartum client to have moderate lochia rubra with clots. Which nursing intervention would be appropriate?
1. Assess fundus and bladder status. 2. Catheterize the client. 3. Administer Methergine IM per order. 4. Contact the physician immediately.