A client diagnosed with leukemia is experiencing frequent infections and recurrent fevers. Which type of blood cells is likely affected by the leukemia, contributing to these symptoms?
Red blood cells
Platelets
Neutrophils
Lymphocytes
The Correct Answer is C
A) This choice is incorrect because red blood cells are not directly involved in the body's immune response. Decreased red blood cells may cause anemia, but they are not responsible for frequent infections and recurrent fevers.
B) This choice is incorrect because platelets are involved in clotting and do not directly impact the body's immune response.
C) This choice is correct. Neutrophils are a type of white blood cell responsible for fighting infections. In leukemia, particularly when neutrophils are affected, the body's ability to fight infections becomes compromised, leading to frequent infections and recurrent fevers.
D) This choice is incorrect because lymphocytes, specifically B-lymphocytes, are affected in chronic lymphocytic leukemia (CLL). While CLL can lead to increased susceptibility to infections, neutrophil dysfunction is more commonly associated with recurrent infections in leukemia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A) This choice is incorrect because fatigue and weakness are common symptoms in leukemia, but they are not specific enough to confirm the diagnosis on their own.
B) This choice is correct. Night sweats and fever are classic symptoms of leukemia, especially in cases of acute leukemia. These symptoms are related to the presence of abnormal white blood cells in the bloodstream and their impact on the body's immune response.
C) This choice is incorrect because unexplained weight gain is not a typical symptom of leukemia. Weight loss is more commonly associated with this condition due to decreased appetite and increased energy expenditure.
D) This choice is incorrect because persistent headaches are not specific to leukemia and may indicate other underlying health issues.
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.
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