Page 940 - Saunders Comprehensive Review For NCLEX-RN

322. Answer: 1, 5

Rationale: Hodgkin’s disease (a type of lymphoma) is a malignancy of the lymph
nodes. Specific clinical manifestations associated with Hodgkin’s disease include
painless, firm, and movable adenopathy in the cervical and supraclavicular areas
and abdominal pain as a result of enlarged retroperitoneal nodes.
Hepatosplenomegaly also is noted. Although fever, malaise, anorexia, and weight
loss are associated with Hodgkin’s disease, these manifestations are seen in many
disorders.
Test-Taking Strategy: Note the words specifically characteristic in the question.
Eliminate options 2 and 3 first because these symptoms are comparable or alike in
that they are general and vague. Recalling that painless adenopathy is associated
with Hodgkin’s disease and abdominal pain will direct you to the correct options.
Level of Cognitive Ability: Analyzing
Client Needs: Physiological Integrity
Integrated Process: Nursing Process—Assessment
Content Area: Pediatrics: Oncological
Health Problem: Pediatric-Specific: Cancers
Priority Concepts: Cellular Regulation; Clinical Judgment
Reference: Hockenberry, Wilson, Rodgers (2017), pp. 829-830.

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