A client is diagnosed with acute leukemia. The nurse explains that acute leukemia is characterized by:
A gradual onset and slow progression of symptoms.
Abnormal white blood cells that divide and accumulate rapidly.
A higher survival rate compared to chronic leukemia.
An indolent course with minimal impact on blood cell counts.
The Correct Answer is B
A) This choice is incorrect because acute leukemia is characterized by a rapid onset and fast progression of symptoms. It requires immediate treatment due to its aggressive nature.
B) This choice is correct. Acute leukemia is characterized by the uncontrolled and rapid proliferation of abnormal white blood cells in the bone marrow, which leads to a high accumulation of these immature cells in the bloodstream.
C) This choice is incorrect because, in general, acute leukemia has a lower survival rate compared to chronic leukemia. Acute leukemia requires immediate and aggressive treatment, and the prognosis depends on various factors, including the subtype and individual response to therapy.
D) This choice is incorrect because acute leukemia is not indolent or slow-growing. It progresses rapidly and can have a significant impact on blood cell counts and overall health.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A) This choice is incorrect because gentle stretching exercises are generally safe and do not significantly increase the risk of bleeding in clients with low platelet counts.
B) This choice is incorrect because deep vein thrombosis (DVT) prophylaxis, such as leg exercises and anti-embolism stockings, is essential to prevent blood clots but is not directly related to bleeding risk.
C) This choice is incorrect because using a soft-bristled toothbrush helps prevent gum bleeding and trauma to the oral mucosa but does not address the risk of bleeding from other areas.
D) This choice is correct. Vigorous nose blowing can lead to trauma to the nasal mucosa and increase the risk of bleeding, especially in clients with low platelet counts who are prone to bleeding episodes.
Correct Answer is C
Explanation
A) This choice is incorrect because leukemia does not lead to the increased production of normal red blood cells. Instead, it causes the overproduction of abnormal white blood cells.
B) This choice is incorrect because leukemia does not lead to the accumulation of normal platelets in the blood. Thrombocytopenia, or low platelet count, is common in leukemia due to the suppression of normal platelet production in the bone marrow.
C) This choice is correct. In leukemia, the proliferation of abnormal white blood cells crowds out and suppresses the normal bone marrow stem cells responsible for producing red blood cells, platelets, and other white blood cells. This suppression leads to anemia and thrombocytopenia.
D) This choice is incorrect because while cancerous cells may infiltrate healthy tissues in other types of cancer, leukemia primarily affects the bone marrow and blood, not other organs or tissues.
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