A college-age patient who is in the hospital for treatment for ...

[Chloeellawright]

A college-age patient who is in the hospital for treatment for Hodgkin disease is visited by friends who bring a pizza and cola. What should the nurse do to ensure the patient's comfort?
 
  1. ask the visitors to leave
  2. ask the visitors to eat the pizza in the lounge
  3. encourage the patient to eat as much pizza as possible
  4. provide the patient with an antiemetic and suggest something else for the patient to eat with the visitors

Question 2

A patient is diagnosed with stage II Hodgkin lymphoma. How should the nurse interpret the extent of this patient's illness?
 
  1. a single lymph node with systemic symptoms
  2. two or more lymph nodes on the same side of the diaphragm
  3. upper abdominal lymph nodes without systemic symptoms
  4. an extranodal site involvement with systemic symptoms

[GCabra]

Answer to Question 1

Correct Answer: 4
The effects of malignant lymphoma and its treatment with chemotherapy and/or radiation therapy can contribute to nausea and interfere with nutritional status. Nausea, a sensation of abdominal fullness, and fear of vomiting often limit food intake. Crackers and hard candy often relieve queasiness, whereas hot, spicy, sweet, or strong-smelling foods may increase nausea. Alternative nausea relief measures may be effective. Asking the visitors to leave or eat in the lobby would be excluding the patient from an enjoyable social activity. Allowing the patient to eat as much as desired without addressing any current nausea would not be most helpful to the patient.

Answer to Question 2

Correct Answer: 2
In stage II the disorder involves two or more lymph node regions on the same side of the diaphragm. Involvement of a single lymph node with systemic symptoms is Stage I. Involvement of upper abdominal lymph nodes without systemic symptoms is stage III1. Involvement of an extranodal site with systemic symptoms is stage IV.