1. Mark Thompson is a 16-year-old patient who was admitted yesterday to the pediatric oncology unit for newly-diagnosed Hodgkin lymphoma. Further testing revealed that Mark has involvement of lymph nodes on both sides of his diaphragm and in his spleen. He is scheduled to begin chemotherapy this evening. Mark states, “I can’t believe this is happening. It feels like my whole life changed overnight. I hate not knowing what will happen.”  What stage of lymphoma does Mark have? What clinical manifestations would you expect to see in your assessment? What are some oncological emergencies that can occur during chemotherapy treatments? What impact does a cancer diagnosis have on the psychosocial status of the patient and their family? What referrals can the nurse make to minimize this impact?

Anatomy & Physiology
1st Edition
ISBN:9781938168130
Author:Kelly A. Young, James A. Wise, Peter DeSaix, Dean H. Kruse, Brandon Poe, Eddie Johnson, Jody E. Johnson, Oksana Korol, J. Gordon Betts, Mark Womble
Publisher:Kelly A. Young, James A. Wise, Peter DeSaix, Dean H. Kruse, Brandon Poe, Eddie Johnson, Jody E. Johnson, Oksana Korol, J. Gordon Betts, Mark Womble
Chapter21: The Lymphatic And Immune System
Section: Chapter Questions
Problem 6RQ: Which structure allows lymph from the lower right limb to enter the bloodstream? thoracic duct right...
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1. Mark Thompson is a 16-year-old patient who was admitted yesterday to the pediatric oncology unit for newly-diagnosed Hodgkin lymphoma. Further testing revealed that Mark has involvement of lymph nodes on both sides of his diaphragm and in his spleen. He is scheduled to begin chemotherapy this evening. Mark states, “I can’t believe this is happening. It feels like my whole life changed overnight. I hate not knowing what will happen.” 

What stage of lymphoma does Mark have? What clinical manifestations would you expect to see in your assessment? What are some oncological emergencies that can occur during chemotherapy treatments? What impact does a cancer diagnosis have on the psychosocial status of the patient and their family? What referrals can the nurse make to minimize this impact?

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