Reference no: EM132471144

Mr. J, aged 38 years, presents to the clinic today for his routine physical. During the review of systems, he offhandedly mentions that he has a "knot" in his neck, but he figures it is no big deal since it does not hurt. He also reports occasional fever and chills, and the last several weeks, he has awakened drenched in sweat. He attributes this to the fact that he was around his niece and nephew who were both recovering from the flu.

1. What other questions would be helpful to determine the source of these symptoms?
2. Then you decide to order a chest X-ray because you are suspicious of Hodgkin lymphoma. What is the rationale for this order?  The rationale for ordering a chest x-ray is 

You tells Mr. J that he would like to biopsy the "knot" in his neck to rule out Hodgkin lymphoma. After the you leave the room, your office nurse reports to you that Mr. J immediately started wringing his hands saying, "Oh my goodness. I know I am going to die. My friend had something like this, and he was dead in 6 months. Who will take care of my family?"

1. How will the nurse practitioner respond to Mr. J's concerns?