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 swollen lymph nodes are more characteristic of chronic leukemia, not acute leukemia like AML.

B) This choice is correct. Chronic lymphocytic leukemia (CLL) is commonly associated with enlarged lymph nodes due to the accumulation of abnormal lymphocytes in these areas. It is a slow-progressing leukemia and often presents with lymphadenopathy.

C) This choice is incorrect because while ALL may involve enlarged lymph nodes, it is more commonly associated with symptoms like fatigue, bleeding, and bone pain.

D) This choice is incorrect because while CML may present with enlarged spleen and liver, it is less likely to cause significant lymphadenopathy compared to CLL.

A. Family history of diabetes B. Exposure to asbestos in the workplace C. History of autoimmune disorders D. Previous diagnosis of lymphoma

Correct Answer is D

Explanation

A) This choice is incorrect because a family history of diabetes is not a known risk factor for leukemia. While genetics can play a role in some leukemia cases, diabetes is not associated with leukemia development.

B) This choice is incorrect because exposure to asbestos is a risk factor for certain types of cancer, such as lung cancer and mesothelioma, but it is not a primary risk factor for leukemia.

C) This choice is incorrect because while autoimmune disorders can affect the immune system, they are not a known risk factor for leukemia.

D) This choice is correct. A previous diagnosis of lymphoma is a significant risk factor for developing leukemia. Lymphoma and leukemia are both types of blood cancers, and individuals with a history of lymphoma have an increased risk of developing leukemia.

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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 client with chronic leukemia reports swollen lymph nodes in the neck, armpits, and groin. Which type of leukemia is most likely to present with these symptoms?

Correct Answer is B

Explanation

A nurse is conducting a health history assessment for a client newly diagnosed with leukemia. Which risk factor should the nurse prioritize when asking about the client's medical history?

Correct Answer is D

Explanation

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