T11: Hodgkin & Non-Hodgkin Lymphoma

Question 1

lymphoma

Answer 1

malignant neoplasms originating in bone marrow and lymphatic structures; results in proliferation of lymphocytes

Question 2

Hodgkin’s Lymphoma

Answer 2

Malignant condition with proliferation of abnormal giant, multinucleated cells; HINT HINT REED-STERNBERG CELLS, located in lymph nodes

Question 3

clinical manifestations Hodgkin’s Lymphoma

Answer 3

o Nodes remain movable and non-tender
o Painless unless nodes exert pressure on adjacent nerves
- Enlargement of cervical, axillary, or inguinal lymph nodes
o Weight loss (how much and over what period of time)
- Fatigue and weakness
- Fever and chills (FEVER OF UNKNOWN ORIGIN)
- Tachycardia
- Night sweats

Question 4

location of Malignant condition with proliferation of abnormal giant, multinucleated cells; HINT HINT REED-STERNBERG CELLS, located in lymph nodes

Answer 4

o DISESASE BEGINS ABOVE THE DIAPHRAGM; remains in lymph nodes for variable amount of time
o BELOW THE DIAPHRAGM; frequently spreads to extra lymphoid sites

Question 5

Second most common location of hodgkins lymphoma is

Answer 5

MEDIASTINAL NODE MASS

Question 6

B symptoms

Answer 6

• Fever > 100.4 F (380 C)
  · Low grade
• Drenching night sweats
• Weight loss exceeding 10% in 6 months

Question 7

MEDIASTINAL NODE INVOLVEMENT is evident with

Answer 7

Cough, dyspnea, stridor, dysphagia

Question 8

intervention for hodgkins lymphoma

Answer 8

· Chemo, radiation, radiation (take out lymph node or splenectomy)

Question 9

Secondary cancers can develop (malignancies): occur 10 years after treatment of Hodgkin’s lymphoma

Answer 9

• Lung cancer
• Breast cancer

Question 10

Skin in radiation field needs ATTENTION

Answer 10

MILD SOAP AND WATER; PAT DRY, no perfume or Vaseline

Question 11

Non-Hodgkin’s Lymphoma

Answer 11

Heterogeneous group of malignant neoplasms of immune system affecting all ages; primarily B-, T-, or NK- cell origin; widespread lymph node involvement

Question 12

clinical manifestations of Non-Hodgkin’s Lymphoma

Answer 12

o Painless lymph node enlargement
(Primary clinical manifestation)
o Patients with high-grade lymphomas
-Lymphadenopathy
- B symptoms
· Fever
· Night sweats
· Weight loss

Question 13

Prognosis for NHL generally is

Answer 13

not as good as that for Hodgkin’s lymphoma

Question 14

treatment for NHL

Answer 14

-Chemotherapy
- Radiation therapy
o Hematopoietic stem cell transplant (HSCT)
o Rituximab (Rituxan): binds to cells an causes lysis and cell death

Question 15

radiation precautions

Answer 15

The nurse should wear a lead shielding apron and should always face the radiation source. The nurse should never turn his/her back toward the radiation source.
The client should be assigned to a private room with a private bath.
Visitors should be advised to stay at least 6 feet from the radiation source at all times
The correct answer is: Always face the radiation source., Assign the client to a private room with a private bath., Encourage visitors to stay at least 6 feet from the client.

Question 16

disorders of the spleen

Answer 16

Part of lymphatic system (this is why they remove the spleen in lymphomas): it has a role in immune system
o They are at higher risk for infection

Question 17

1/3 of platelets are stored in the?

Answer 17

spleen

Question 18

interventions for disorder of spleen

Answer 18

o Pain management
o Impaired lung expansion-diaphragmatic pressure
o Blood products
o Fluid volume for injury
o Removal-SPLENECTOMY reduces immunity with IgG lessened
· SHOULD NOT RECEIVE LIVE VACCINE