A client diagnosed with leukemia asks the nurse, "What causes the overproduction of abnormal white blood cells?" How should the nurse respond?
"The bone marrow produces an excessive number of platelets, leading to abnormal white blood cell formation."
"Leukemia occurs when the body's immune system attacks healthy white blood cells, causing an overproduction."
"Genetic mutations in the bone marrow cells lead to uncontrolled growth and proliferation of abnormal white blood cells."
"An imbalance of red blood cells in the bone marrow triggers an excessive production of white blood cells."
The Correct Answer is C
A) This choice is incorrect because leukemia does not result from an overproduction of platelets. Leukemia involves an overproduction of abnormal white blood cells.
B) This choice is incorrect because leukemia is not caused by the body's immune system attacking healthy white blood cells. Instead, it involves the uncontrolled growth of abnormal white blood cells.
C) This choice is correct. Leukemia is characterized by genetic mutations in the bone marrow cells, particularly in the stem cells that produce white blood cells. These mutations lead to uncontrolled growth and proliferation of abnormal white blood cells, interfering with the normal production of other blood cells.
D) This choice is incorrect because an imbalance of red blood cells would not trigger the overproduction of white blood cells. Leukemia is specifically a disorder of white blood cell proliferation.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A) This choice is incorrect because leukemia is not a contagious disease. It cannot spread from person to person through direct contact.
B) This choice is correct. Leukemia is not contagious. It is a type of cancer caused by abnormal white blood cells in the bone marrow and blood. It cannot be transmitted from one person to another.
C) This choice is incorrect because leukemia is not contagious, even if the person has a weakened immune system. It is not a communicable disease.
D) This choice is incorrect because leukemia is not transmitted through blood transfusions. Blood transfusions involve screened and tested blood products, and leukemia cannot be passed on through this process.
Correct Answer is C
Explanation
A) This choice is incorrect because stem cell transplantation is not the primary treatment for all cases of chronic myeloid leukemia (CML). It may be considered in certain cases, but targeted therapy is the standard first-line treatment for most patients with CML.
B) This choice is incorrect because while chemotherapy and radiation therapy are used in some leukemia treatments, they are not the main treatments for CML. Targeted therapy with tyrosine kinase inhibitors is the standard approach for CML management.
C) This choice is correct. The mainstay of treatment for chronic myeloid leukemia (CML) is targeted therapy with tyrosine kinase inhibitors (TKIs). TKIs are oral medications that specifically target the abnormal protein produced by the BCR-ABL gene, which drives the overproduction of white blood cells in CML. These medications are highly effective and have revolutionized the treatment of CML, leading to improved outcomes for many patients.
D) This choice is incorrect because watchful waiting and supportive care may be considered for certain low-risk or asymptomatic cases of CML, but it is not the primary treatment approach. Targeted therapy with TKIs is the standard treatment for most patients with CML.
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