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 assessing bone density and strength is not the primary purpose of a CT scan in the diagnostic evaluation of leukemia.
B) This choice is correct. A CT scan is commonly used to identify enlarged lymph nodes and organs, which can occur in leukemia as a result of cancerous cell proliferation and infiltration into the lymphatic system and other organs.
C) This choice is incorrect because measuring lung capacity is not the primary purpose of a CT scan in the diagnostic evaluation of leukemia.
D) This choice is incorrect because monitoring cardiac function is not the primary goal of a CT scan in the diagnostic evaluation of leukemia.
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.
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