Exam 19 - Disorders Associated with Lymph System

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Questions and Answers

What is the primary cause of lymphangitis?

Parasitic infection

Viral infection

Fungal infection

Bacterial infection (correct)

Which of the following is NOT a characteristic symptom of lymphangitis?

Chills and fever

Swollen lymph nodes

Fine red streaks from the affected area

Localized edema (correct)

What is a key assessment finding that differentiates lymphedema from venous disorders?

Swelling in the affected extremities

Presence of pain and pressure

Distal pulse palpation

Results of a lymphoscintigraphy (correct)

Which of the following is a potential consequence of undisturbed lymphatic drainage?

Inflammatory process (D) Signup and view all the answers

Which of the following factors can aggravate lymphedema?

Warm, humid environments (C) Signup and view all the answers

What is the primary goal of mechanical management for lymphedema?

Improve lymphatic drainage (B) Signup and view all the answers

Which of the following clinical manifestations is NOT characteristic of Hodgkin's lymphoma?

Nausea and vomiting (B) Signup and view all the answers

What is the name of the abnormal cell found in Hodgkin's lymphoma?

Reed-Sternberg cell (D) Signup and view all the answers

Which of the following is a risk factor for developing Hodgkin's lymphoma?

History of mononucleosis (Epstein-Barr virus) (B) Signup and view all the answers

What is a possible cause of Hodgkin's lymphoma?

Autoimmune disorder (A) Signup and view all the answers

Which of the following is NOT a nursing intervention for a patient with Hodgkin's lymphoma?

Administer antibiotics as prescribed (D) Signup and view all the answers

What age groups are most commonly affected by Hodgkin's lymphoma?

Teenagers and young adults (D) Signup and view all the answers

Which of the following is considered a 'B' symptom of Hodgkin's lymphoma, indicating a worse prognosis?

Night sweats (B) Signup and view all the answers

What is the most common site for initial lymph node enlargement in Hodgkin's lymphoma?

Cervical lymph nodes (B) Signup and view all the answers

Which treatment regime includes the following drugs: bleomycin, etoposide, doxorubicin, cyclophosphamide, vincristine, procarbazine, and prednisone?

BEACOPP (B) Signup and view all the answers

What is the main goal of providing education and emotional support to a patient with Hodgkin's lymphoma?

To ensure the patient fully understands the treatment plan and its potential side effects (C) Signup and view all the answers

What is the significance of the staging of Hodgkin's lymphoma for prognosis?

Staging helps determine the extent of the disease and its impact on survival rate (A) Signup and view all the answers

In the context of Hodgkin's lymphoma, what are the key nursing interventions to maintain skin integrity?

Frequent skin checks, soothing baths with antipruritic medication, and meticulous skin care (D) Signup and view all the answers

Which of the following is a key aspect of psychological support for a patient with Hodgkin's lymphoma?

All of the above (D) Signup and view all the answers

What is the primary reason for monitoring and controlling side effects of therapy in patients with Hodgkin's lymphoma?

All of the above (D) Signup and view all the answers

Which of these is NOT a typical symptom of Hodgkin's Lymphoma?

Severe Headache (B) Signup and view all the answers

What is the most likely reason for a low iron level in the blood of a patient with Hodgkin's Lymphoma?

Increased uptake of iron by the liver and spleen. (B) Signup and view all the answers

What is the significance of Reed-Sternberg cells in the diagnosis of Hodgkin's Lymphoma?

They are a specific marker of Hodgkin's Lymphoma. (D) Signup and view all the answers

Which diagnostic test is most helpful in determining the extent of retroperitoneal involvement in Hodgkin's Lymphoma?

CT or MRI (C) Signup and view all the answers

What is the significance of "bulky disease" (Stage X) in Hodgkin's Lymphoma?

It indicates a larger than expected mediastinum or lymph node mass. (B) Signup and view all the answers

Which of the following is an indication of the presence of symptoms in a patient with Hodgkin's Lymphoma?

Stage B (D) Signup and view all the answers

What is a common clinical manifestation associated with Hodgkin's lymphoma that indicates a worse prognosis?

Night sweats (C) Signup and view all the answers

What nursing intervention is important for preventing infections in a patient with Hodgkin's lymphoma?

Daily inspection of the skin for cuts and cracks (A) Signup and view all the answers

What is the significance of Reed-Sternberg cells in Hodgkin's lymphoma?

They are abnormal cells that replace normal cells in lymph nodes (B) Signup and view all the answers

What is a recommended dietary restriction for patients managing Hodgkin's lymphoma?

Limiting sodium intake (B) Signup and view all the answers

Study Notes

Lymphangitis

Inflammation of lymphatic vessels, typically caused by bacterial infections (streptococcal or staphylococcal) in an extremity.
Characterized by fine red streaks extending from the infected area toward the groin or axilla.
Edema is usually diffuse, not localized.
Accompanying symptoms may include chills, fever, local pain, headache, and myalgia.
Lymphadenopathy (swollen lymph nodes) might be present.
Septicemia (blood poisoning) can occur.
Diagnosis involves visual inspection and palpation.
Medical management focuses on administering antimicrobial drugs (oral or intravenous) to control the infection, alongside anti-inflammatory medications and application of moist heat.
Nursing interventions include keeping the affected area clean, encouraging rest, and elevating the extremity to ease pressure.

Lymphedema

A disorder characterized by fluid accumulation (edema) in soft tissues due to lymphatic system dysfunction.
Causes include lymphatic obstruction, increased lymph production, removal of lymph channels/nodes, and inherited factors.
Clinical features include massive edema, tightness, pressure, and pain in affected extremities that extend towards the trunk.
Conditions that worsen lymphedema include standing, increased pressure, obesity, and warm, humid environments.
Diagnosis involves visual assessment and potentially additional tests

Hodgkin's Lymphoma

A malignant disorder characterized by painless, progressive enlargement of lymph nodes and lymphoid tissue.
More common in males than females.
Characterized by the presence of abnormal Reed-Sternberg cells.
Manifestations include painless swelling of cervical, axillary, or inguinal lymph nodes, unexplained weight loss, fever, night sweats, fatigue, and pruritus (itching).
Pain might occur in the lymph nodes after alcohol ingestion.
May involve anemia and leukocytosis related to respiratory infections.
Diagnosis involves physical assessment, blood tests, imaging (CT, MRI, PET scans), and biopsies.
Treatment depends on the stage of the disease.

Non-Hodgkin's Lymphoma (NHL)

A group of malignant lymphomas originating from B-cells or T-cells.
Accounts for about 85% of cases in NHLs are B-cell lymphomas.
Symptoms can include localized painless lymphadenopathy, fever, night sweats, weight loss, fatigue, and susceptibility to infection.
Areas affected include cervical, axillary, or inguinal areas.
Risk factors can include Epstein-Barr Virus, weakened immune systems, exposure to pesticides, previous viral infections, and a history of some forms of cancer.
Diagnosis involves biopsies, imaging (CT, MRI, PET), and lab tests.
Treatment involves various therapies like chemotherapy, immunotherapy, and radiation.

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Description

This quiz covers the essential concepts of lymphangitis and lymphedema, including their causes, symptoms, and treatment options. Understand the differences between these conditions as well as nursing interventions and medical management strategies. Test your knowledge on the lymphatic system and its disorders.