The nurse working in a physician's office admits a 15-year-old ...

[clmills979]

The nurse working in a physician's office admits a 15-year-old boy brought to the office because he has noted swelling around the neck and shoulders and reports night sweats and weight loss. The nurse suspects a diagnosis of:
 
  1. Hodgkin's lymphoma.
  2. Tuberculosis.
  3. HIV/AIDS.
  4. Strep throat.

Question 2

When caring for a client with an indwelling urinary catheter, the nurse plans care to include what interventions to reduce the risk of infection? Select all that apply. Standard Text: Select all that apply.
 
  1. 3,000 mL of fluid intake
  2. Encourage foods such as eggs, meat, and poultry.
  3. Clean the perineum with soap and water every morning.
  4. Routinely replace the catheter every three days.
  5. Maintain the drainage bag at the level of the bladder.

[phuda]

Answer to Question 1

1
Rationale: Hodgkin's lymphoma is most often diagnosed in 15-year-old males with presenting symptoms of nontender, firm, enlarged lymph nodes in the cervical and supraclavicular areas. Other symptoms might include fever, night sweats, and weight loss.

Answer to Question 2

1,2
Rationale: The nurse will encourage fluids to increase urine output, avoid urinary stasis, and keep the bladder flushed to avoid infection. Foods such as eggs, meat, poultry, cranberries, plums, and tomatoes acidify the urine and reduce the risk of infection. The perineum should be cleaned with soap and water twice a day, routine catheter replacement is not recommended, and the drainage bag should be below the level of the bladder.