A client diagnosed with acute leukemia presents with enlarged gums and bleeding from the gums. What is the underlying cause of these oral symptoms?

Impaired wound healing

Hyperactive immune response

Overproduction of saliva

Infiltration of leukemic cells in the gums

Answer and Explanation

The Correct Answer is D

A) This choice is incorrect because impaired wound healing is not a typical cause of enlarged gums and bleeding in leukemia.

B) This choice is incorrect because a hyperactive immune response is not directly related to oral symptoms in leukemia.

C) This choice is incorrect because overproduction of saliva is not a typical cause of enlarged gums and bleeding in leukemia.

D) This choice is correct. Enlarged gums (gingival hypertrophy) and bleeding from the gums are characteristic oral symptoms of acute leukemia. Leukemic cells can infiltrate the gums and oral tissues, leading to inflammation, bleeding, and gum enlargement.

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Correct Answer is B

Explanation

A) This choice is incorrect because impaired bone density would not directly cause ecchymoses on the skin. It might lead to an increased risk of fractures, but not bruising.

B) This choice is correct. Ecchymoses (bruises) of varying sizes with minimal trauma are common in leukemia due to a deficiency of platelets and impaired clotting factors in the blood. Leukemia can lead to decreased platelet production and clotting abnormalities, resulting in easy bleeding and bruising.

C) This choice is incorrect because increased production of platelets would improve clotting abilities and reduce the risk of ecchymoses.

D) This choice is incorrect because elevated levels of red blood cells would not directly cause ecchymoses on the skin. It may lead to other symptoms like increased blood viscosity.

A. "To surgically remove the tumor mass." B. "To stimulate the body's immune system to attack leukemia cells." C. "To destroy leukemia cells and promote remission." D. "To provide pain relief and manage symptoms."

Correct Answer is C

Explanation

A) This choice is incorrect because chemotherapy is not a surgical procedure and does not involve the removal of tumor masses.

B) This choice is incorrect because while immunotherapy may be used as a treatment approach in some cases, the primary goal of chemotherapy is to directly destroy leukemia cells.

C) This choice is correct. The primary goal of chemotherapy in leukemia treatment is to use powerful medications to kill or inhibit the growth of leukemia cells, leading to remission.

D) This choice is incorrect because pain relief and symptom management are not the primary goals of chemotherapy in leukemia treatment.

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A client diagnosed with acute leukemia presents with enlarged gums and bleeding from the gums. What is the underlying cause of these oral symptoms?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client with leukemia and finds multiple ecchymoses (bruises) of varying sizes on the skin. The client mentions minimal trauma to the affected areas. What is the most likely cause of these ecchymoses?

Correct Answer is B

Explanation

A nurse is discussing treatment options with a client diagnosed with acute leukemia. The client asks, "What is the primary goal of chemotherapy in leukemia treatment?" How should the nurse respond?

Correct Answer is C

Explanation

A nurse is providing education to a client newly diagnosed with leukemia. The client asks, "Is leukemia a genetic condition?" How should the nurse respond?

A client is diagnosed with acute leukemia. The nurse explains that acute leukemia is characterized by:

A nurse is assessing a client diagnosed with leukemia. Which finding requires immediate intervention?

A nurse is reviewing the medical records of clients diagnosed with leukemia on a cancer unit. Which client's medical history should the nurse recognize as a possible risk factor for developing leukemia?

A nurse is preparing a client for a diagnostic procedure to confirm leukemia. Which test is commonly used to assess the client's bone marrow?

A client with leukemia is experiencing anemia due to decreased red blood cell production. What treatment approach may the healthcare provider recommend to address anemia?

A client with leukemia is receiving immunotherapy as part of their treatment plan. What is the primary purpose of immunotherapy in leukemia treatment?

A client with leukemia is undergoing a bone marrow biopsy for diagnosis and staging. The nurse should explain that the primary purpose of this procedure is to: