A client newly diagnosed with acute lymphocytic leukemia (ALL) asks the nurse, "What happens to the normal bone marrow cells in ALL?" How should the nurse respond?
"In ALL, the bone marrow produces an excess of abnormal red blood cells, leading to anemia."
"ALL results in the overproduction of normal white blood cells, leading to an increased immune response."
"The abnormal lymphocytes in ALL crowd out the normal bone marrow cells, leading to decreased production of other blood cells."
"In ALL, the bone marrow becomes fibrous and unable to produce any blood cells."
The Correct Answer is C
A) This choice is incorrect because ALL does not result in the overproduction of red blood cells. It primarily affects lymphocytes, not red blood cells.
B) This choice is incorrect because ALL involves the overproduction of abnormal lymphocytes, not normal white blood cells. These abnormal lymphocytes crowd out normal cells.
C) This choice is correct. In ALL, the uncontrolled proliferation of abnormal lymphocytes leads to the overcrowding of the bone marrow. As a result, normal bone marrow cells, including red blood cells, platelets, and other white blood cells, are suppressed, leading to various cytopenias.
D) This choice is incorrect because ALL does not cause the bone marrow to become fibrous and unable to produce any blood cells. That description is more characteristic of myelofibrosis, a different bone marrow disorder.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A) This choice is incorrect because stem cells used in transplantation are typically not extracted from the client's cancerous tissues.
B) This choice is correct. In a stem cell transplant, stem cells are collected from the bone marrow of a matched donor (allogeneic transplant) or the client themselves (autologous transplant). These stem cells are then infused into the client's bloodstream to replace the damaged bone marrow and produce healthy blood cells.
C) This choice is incorrect because stem cells used in transplantation are not taken from a tumor.
D) This choice is incorrect because stem cells used in transplantation are not harvested from the client's peripheral blood.
Correct Answer is D
Explanation
A) This choice is incorrect because bone marrow suppression would lead to decreased production of blood cells but may not directly cause bone pain and tenderness.
B) This choice is incorrect because excessive calcium levels in the blood would not be a common cause of bone pain and tenderness in leukemia.
C) This choice is incorrect because rapid growth of bone tissue would not be a typical cause of bone pain and tenderness in leukemia.
D) This choice is correct. Bone pain and tenderness in leukemia are often caused by the accumulation of leukemic cells in the bones. These abnormal cells infiltrate the bone marrow and bone tissue, leading to pain and tenderness.
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