Pathophysiology / Overview
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Signs and Symptoms
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Red Flags / Danger Signs
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Nursing Assessment and Interventions
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Clinical Pearls
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Client Education
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Your exam focus
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Next steps
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RPN Lesson: Hodgkin Disease / Hodgkin Lymphoma
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Painless lymphadenopathy
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Fatigue and weakness
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Itching, sometimes severe
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History of Epstein-Barr virus infection
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Male sex in some subtypes
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Common findings
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Subjective assessment
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Fever, chills, or night sweats
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Objective assessment
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Temperature and full vital signs
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Signs of anemia, thrombocytopenia, or neutropenia during treatment
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RPN role during diagnosis
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Prepare the client for ordered tests
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Report abnormal findings promptly
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Chemotherapy
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Stem cell transplant in some relapsed or refractory cases
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Priority 1: Infection prevention
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Monitor temperature closely
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Reinforce neutropenia precautions if ordered
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Priority 2: Monitor for treatment side effects
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Fatigue
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Peripheral neuropathy with some medications
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Give prescribed antiemetics as ordered
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Priority 3: Protect from bleeding
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Use soft toothbrush if allowed
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Priority 4: Manage fatigue and conserve energy
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Cluster care
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Priority 5: Support nutrition and hydration
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Monitor weight trends
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Report dysphagia, dehydration, severe vomiting, or inability to eat
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Fever or chills
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Persistent vomiting or diarrhea
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New confusion or dizziness
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Hand hygiene
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Safe food handling if neutropenic precautions are ordered
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Perform focused assessments
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Escalate unstable or unexpected findings
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Fever in a client receiving chemotherapy
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Uncontrolled nausea, vomiting, diarrhea, or pain
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References
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