1) A mother takes her son to the doctor and describes thefollowing symptoms that she has observed. The child is running afever, has flu-like symptoms, and his lymph glands are very swollenand sore to the touch. Of what significance are the swollen andsore lymph glands?
2) A woman had a mastectomy that included the removal ofaxillary lymph nodes on her left side. What does she risk regardingher left arm and why?
3) A man involved in a traffic accident is rushed to theemergency room of a hospital with severe internal bleeding.Examination reveals a ruptured spleen. What is the treatment ofchoice and what is the likely long-term outcome (prognosis)?
4) While passing through a village on safari you notice a manwith one enormous leg and one normal-sized leg. What could havecaused the increased size of the swollen leg?
5) Lymphedema may occur as a complication after a radicalmastectomy, in which lymph nodes have been removed. Explain why itmight occur.
6) A nurse palpated enlarged lymph nodes. Describe signs andsymptoms that help to distinguish cancerous lymph nodes frominfected lymph nodes.
7) Describe why the prognosis of cancer is best when there is nodetectable spread from the region of the primary tumor to the lymphnodes.
8) As the human immunodeficiency virus (HIV) progresses, someindividuals develop persistent generalized lymphadenopathy (anydisease of the lymph nodes). Explain why this may occur.
9) A 36-year-old man enters the hospital in an extremelydebilitated condition. He has purple-brown skin lesions (a symptomof Kaposi's sarcoma) and a persistent cough. A physical examinationreveals swollen lymph nodes, and laboratory tests find a very lowlymphocyte count. Information taken during the personal historyreveals that he has multiple sex partners with whom he frequentlyengages in unprotected sex. What is likely to be the man's problemand what is his outlook?
10) A young girl requires a liver transplant due to failure ofher liver to function. What is required for her to have a goodprognosis and why?
11) A woman comes into the hospital emergency room complainingthat she is having problems swallowing and her neck is swelling.She has a history of radiation treatment to her neck as a child foracne. What could be the problem?
12) Max is bitten by a rattlesnake while on a camping trip. Hisfriends immediately apply ice packs to the bitten area to slow thespread of the protein-based toxin; they then rush him to anemergency facility. What treatment would be given and why?
13) A physician orders Tylenol for a temperature greater than101 degrees F. The patient's temperature is 100.4 F. Explain therationale for not medicating a fever of 100.4 F.
14) Nursing care of a patient with acquired immune deficiencysyndrome (AIDS) includes monitoring of T lymphocyte counts. Explainwhy.
15) After receiving penicillin intravenously, a 32-year-old malepatient has an anaphylactic reaction. The nurse understands thattherapeutic management includes what critical items?
16) When the white blood cell count is depressed, the classicsigns of infection such as redness, heat, and swelling are notmanifested. In this case, the nurse should avoid administeringaspirin. Explain why.
