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?

Phlebotomy Essentials
6th Edition
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Chapter1: Phlebotomy: Past And Present And The Healthcare Setting
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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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