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Lymph Nodes 'R' Us
Adult Nursing
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D. Rose
100
what causes primary lymphedema
Congenitally acquired although manifestations usually do not appear until adolescence or early adulthood p.449
100
Definition: Applies to a group of cancers that affect the lymphatic system.
What is Lymphoma p. 452
100
Diagnostic laboratory tests have been drawn. You would know that the malignant cells diagnostic of Hodgkin's disease are
What is Although the exact cause of Hodgkin's disease is unknown, it appears that a virus, particularly the Epstein-Barr virus (the etiologic agent of infectious mononucleosis), causes mutations in some but not all lymphocytes, creating malignant cells known as Reed-Sternberg cells\b .\b0 Reed-Sternberg cells are nearly immortal, continue to reproduce prolifically, and perhaps because of their altered form, are somehow shielded from being destroyed by killer T cells. P.453
100
3 Clients: Client A has 25,500 white blood cells (WBCs), client B has 13.4 g/dL hemoglobin, and client C has a platelet count of 275,000. Which describes the condition of each client?}
What is Client A has an increased number of leukocytes greater than 10,000 client B has a normal hemoglobin count. client C has a normal platelet
100
What type of blood is compatible with all blood types?
What is People with type O blood are universal donors because they do not have antigens on the red cell membrane.
200
______ Is a reservoir of blood and contains phagocytes that engulf damaged erythrocytes and foreign substances.
What is Spleen
200
When caring for a client with lymphedema what would be an appropriate nursing action?}
What is The nurse inspects and measures the affected area to assess the extent of enlargement and assess the condition of the skin. He or she encourages the client to move and exercise the affected arm or leg to enhance the flow of lymph from the congested area. The nurse instructs the client to elevate the edematous extremities when sitting and teaches how to apply and use elastic garments and mechanical
200
_________is a malignancy that produces enlargement of lymphoid tissue, the spleen, and the liver, with invasion of other tissues such as the bone marrow and lungs. It may appear in several forms: acute, localized, or latent with relapsing pyrexia (elevated temperature); splenomegaly (enlarged spleen); and as lymphogranulomatosis (multiple granular tumors or growths composed of lymphoid cells)
What is Hodgkin's Disease
200
Macrophages attack and destroy foreign substances to the body. Where does this action occur?
What is Lymph Node-As lymph passes through the node, macrophages attack and engulf foreign substances such as bacteria and viruses, abnormal body cells, and other debris.
200
People with what type of blood are universal recipients?
What is People with type O blood are universal donors because they do not have antigens on the red cell membrane. People with type AB blood are universal recipients because they are compatible with blood types A, B, and O.
300
What type of diet would the nurse advise the client with infectious mononucleosis to improve oral intake?
What is } Soft, bland foods and cool liquids are best for clients with ulcerations of the oral mucosa.
300
Keisha, client with severe lymphedema has refused to see visitors. How could the nurse support the client's self-image?
What is suggesting certain styles of clothing that conceal abnormal enlargement of an arm or leg
300
Sarah asks you what the she can do to help herself get better from mono What would be your best advice.
What is The nurse advises the client to rest as much as possible. If the client expresses concern over prolonged time off from work or school, the nurse listens and helps the client cope with the anxiety. He or she advises the client to withhold donating blood for at least 6 months after recovering from the illness.
300
What is the major function of erythrocytes?
What is Erythrocytes (or RBCs) are flexible, anuclear (lacking a nucleus), biconcave disks covered by a thin membrane through which oxygen and carbon dioxide pass freely. The flexibility of erythrocytes allows them to change shape as they travel through capillaries. Their major function is to transport oxygen to and remove from Carbon dioxide from the tissues.}
300
What are the two types of bone marrow
What is Red Marrow and Yellow Marrow
400
The nurse is caring for a client with Hodgkin's disease who has developed anemia. What would you expect would be ordered for this client?
What is Transfusions are prescribed to control anemia. If resistance to treatment develops, autologous bone marrow or peripheral stem cells are harvested, followed by high doses of chemotherapy that destroy the bone marrow. p. 453
400
What interventions would you institute to help promote the resolution of the lymphangitis?
What is The nurse inspects the area two to three times daily and notes the client's response to antibiotic therapy. He or she gives assistance if the discomfort interferes with activities of daily living. Elevation reduces the swelling. Warmth promotes comfort and enhances circulation. The nurse notifies the physician if the affected area appears to enlarge, additional lymph nodes become involved, or body temperature remains elevated. In severe cases with persistent swelling, the nurse teaches the client how to apply an elastic sleeve or stocking.}
400
You are caring for a 80-year-old client with non-Hodgkin's lymphoma. The client is trying to decide what treatment they are willing to accept. What is an important nursing function when caring for an older client with non-Hodgkin's,
What is Nursing management for older adults with non-Hodgkin's lymphomas must include assessment of functional status of the cardiopulmonary, renal and central nervous system to assist the client and family in decision-making regarding risks and benefits of chemotherapy. Advocating for the older client includes planning for end-of-life concerns. p.456
400
_____Lower than normal number of platelets or thrombocytes
What is thrombocytopenia
400
Normal range of leukocytes
What is Men: 5-13,000 Women: 5-10,000
500
An Stevie B has been admitted to your unit for Hodgkin's disease. The client asks you what treatment they are going to have. What would be your best response?
What is Treatment of Hodgkin's disease includes localized radiation to affected lymph nodes and chemotherapy with combinations of antineoplastic drugs. P. 453
500
You are caring for a client suspected of lymphatic or hematologic disorder. Why is it important for the nurse to inquire about any foreign travel this client may have done?
What isinquiring about any foreign travel of the client. The nurse also asks about foreign travel to countries where malaria or parasitic roundworms are common
500
Erythrocytes circulate in the blood for about 120 days, after which the _____ removes them; the ____ removes severely damaged erythrocytes. The rate of erythrocyte production is regulated by erythropoietin, a hormone released by the kidneys.
What is Spleen, Liver
500
____Mature red blood cells
What is Erythroctyes
500
The EBV appears to play a role in the cause of Hodgkin's disease. It seems to cause mutations in some but not all lymphocytes, creating malignant cells known as Reed-Sternberg cells. The virus is also believed to do what?
What is inactivate the immune system's ability to suppress tumor growth p.452
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