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10 Cards in this Set

  • Front
  • Back
cancer of the lymph system
* surgical removal of the spleen

* used to treat select hematological disorders & possibly stage lymphomas
Hodgkin's disease (HD)
* a lymphoma

* distinguishing feature is Reed-Sternberg cells

S/S: painless swelling in 1+ lymph node chains - generalized pruritus (itching) - alcohol-induced pain - fever - fatigue - weight loss - malaise
non-Hodgkin's lymphomas (NHLs)
* includes all other type of lymphomas

* usually progresses more rapidly than HD

* arises from B cells and T cells

S/S: enlarged, painless, rubbery nodes in cervical & supraclavicular areas - enlarged tonsils & adenoids - fatigue - malaise - weight loss
overwhelming postsplenectomy infection (OPSI)
* causitive agents include streptococci, Neisseria spp., & influenza bacteria

* 70% mortality rate

S/S: fever - malaise
Which of the following signs is most commonly present at dx w/the lymphomas?
a. high fever
b. painful lymph nodes
c. enlarged lymph nodes
d. abdominal pain
c. enlarged lymph nodes
Stage III Hodgkin's disease is defined as which of the following?
a. Lymphatic involvement on both sides of the diaphragm
b. Localized involvement of 2+ adjacent or nonadjacent regions on one side of the diaphragm
c. Diffuse involvement of one or more extralymphatic organs or tissues such as the bone marrow or liver
d. Localized involvement of a single lymph node site, usually located in the cervical or supraclavicular area
b. Localized involvement of 2+ adjacent or nonadjacent regions on one side of the diaphragm
Which of the following interventions is appropriate for the pt at home who is at risk for infection?
a. Advise the pt to stay indoors
b. Encourage the pt to avoid crowds
c. Maintain strict isolation
d. Instruct the pt to avoid blood draws
b. Encourage the pt to avoid crowds
Which of the following circumstances places the pt at most risk for respiratory complications following a splenectomy?
a. Disturbance of clotting factors
b. NPO status
c. Need for frequent dressing changes
d. Location of surgical incision
d. Location of surgical incision
Which of the following postsplenectomy symptoms should the pt report immediately?
a. Fever & malaise
b. Pain at the incision site
c. Discomfort w/coughing
d. Fatigue
a. Fever and malaise