A client asks the nurse about the different types of leukemia. Which response by the nurse is accurate?
"There is only one type of leukemia, called acute lymphocytic leukemia (ALL)."
"Leukemia can be classified into two main types: acute and chronic."
"The types of leukemia are based on age, with adult leukemia being the most common."
"Leukemia is classified into solid tumors and liquid tumors."
The Correct Answer is B
A) This choice is incorrect because leukemia is not limited to just one type. There are different subtypes of leukemia, including acute lymphocytic leukemia (ALL) and acute myeloid leukemia (AML), among others.
B) This choice is correct. Leukemia can be broadly classified into two main types: acute leukemia, which progresses rapidly and requires immediate treatment, and chronic leukemia, which progresses more slowly.
C) This choice is incorrect because the classification of leukemia is not solely based on age. Leukemia can occur in both children and adults.
D) This choice is incorrect because the classification of leukemia does not involve solid tumors. Leukemia is a cancer of the blood and bone marrow, characterized by the uncontrolled growth of abnormal white blood cells.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A) This choice is incorrect because while a complete blood count (CBC) is an important initial screening test for leukemia, it alone is not definitive for diagnosis. A CBC may show abnormal levels of blood cells, prompting further investigation, including a bone marrow biopsy.
B) This choice is incorrect because a urinalysis is not used to diagnose leukemia. It is a test used to evaluate kidney function and detect urinary abnormalities.
C) This choice is incorrect because a chest X-ray is not a definitive diagnostic tool for leukemia. It is primarily used to assess the lungs and chest organs for conditions such as pneumonia or tumors.
D) This choice is correct. A bone marrow biopsy is a definitive diagnostic tool to confirm leukemia. In this procedure, a small sample of bone marrow is taken from the hipbone or breastbone and examined under a microscope to determine if leukemia cells are present. It allows for the identification of abnormal cells in the bone marrow, helping to establish the diagnosis and type of leukemia.
Correct Answer is D
Explanation
A) This choice is incorrect because mild redness and tenderness at the IV site are common findings and may indicate a local inflammatory response to the IV infusion.
B) This choice is incorrect because a temperature of 99.8°F (37.7°C) is slightly elevated but not a critical finding. The client's healthcare provider should be notified if the temperature is significantly elevated or if other symptoms are present.
C) This choice is incorrect because a small amount of blood in the IV tubing may be due to a minor infiltration or a common occurrence during IV administration. However, the nurse should monitor the IV site and flow rate closely.
D) This choice is correct. Crackles and decreased breath sounds on auscultation may indicate fluid overload or pulmonary edema, which could be a severe complication of IV chemotherapy. The healthcare provider should be notified immediately to assess the client's respiratory status and provide appropriate intervention.
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