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Author Question: A patient who has non-Hodgkin's lymphoma is receiving combination treatment with rituximab (Rituxan) ... (Read 140 times)

CharlieWard

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on: Jun 25, 2018
A patient who has non-Hodgkin's lymphoma is receiving combination treatment with rituximab (Rituxan) and chemotherapy. Which patient assessment finding requires the most rapid action by the nurse?
 
  a. Anorexia
  b. Vomiting
  c. Oral ulcers
  d. Lip swelling

Question 2

Following successful treatment of Hodgkin's lymphoma for a 55-year-old woman, which topic will the nurse include in patient teaching?
 
  a. Potential impact of chemotherapy treatment on fertility
  b. Application of soothing lotions to treat residual pruritus
  c. Use of maintenance chemotherapy to maintain remission
  d. Need for follow-up appointments to screen for malignancy


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juiceman1987

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Reply #1 on: Jun 25, 2018
Answer to Question 1

ANS: D
Lip swelling in angioedema may indicate a hypersensitivity reaction to the rituximab. The nurse should stop the infusion and further assess for anaphylaxis. The other findings may occur with chemotherapy, but are not immediately life threatening.

Answer to Question 2

ANS: D
The chemotherapy used in treating Hodgkin's lymphoma results in a high incidence of secondary malignancies; follow-up screening is needed. The fertility of a 55-year-old woman will not be impacted by chemotherapy. Maintenance chemotherapy is not used for Hodgkin's lymphoma. Pruritus is a clinical manifestation of lymphoma, but should not be a concern after treatment.


CharlieWard

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Reply #2 on: Jun 25, 2018
Thank you :)


juiceman1987

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Reply #3 on: Jun 25, 2018
Happy to help you


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