A client newly diagnosed with leukemia is experiencing bone pain and tenderness. What is the underlying cause of these symptoms?

Bone marrow suppression

Excessive calcium levels in the blood

Rapid growth of bone tissue

Accumulation of leukemic cells in the bones

Answer and Explanation

The Correct Answer is D

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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Correct Answer is D

Explanation

A) This choice is incorrect because there is no strong evidence to support smoking as a major risk factor for leukemia. Smoking is primarily associated with lung cancer and other respiratory conditions.

B) This choice is incorrect because while smoking is associated with other types of cancer, such as lung, throat, and mouth cancers, it is not definitively linked to leukemia.

C) This choice is incorrect because while smoking can increase the risk of certain cancers, its link to leukemia remains uncertain. Research on this topic has not provided conclusive evidence of a significant association between smoking and leukemia development.

D) This choice is correct. The link between smoking and leukemia is still uncertain and not well-established. While smoking is a known risk factor for several types of cancer, its specific role in leukemia development requires further study.

A. Encourage daily aerobic exercise B. Administer intramuscular (IM) vaccinations C. Place the client in a private room with negative pressure D. Limit the number of healthcare providers entering the client's room

Correct Answer is C

Explanation

A) This choice is incorrect because while aerobic exercise is beneficial for overall health, it may not directly protect the client from infection in the context of low WBC count during chemotherapy.

B) This choice is incorrect because during chemotherapy, live vaccines should be avoided as they can pose a risk to immunocompromised clients with low WBC counts.

C) This choice is correct. Placing the client in a private room with negative pressure helps reduce the risk of exposure to infectious agents, especially in immunocompromised clients with low WBC counts who are at higher risk of infection.

D) This choice is incorrect because limiting the number of healthcare providers entering the client's room may be beneficial to reduce the risk of exposure to potential infections, but placing the client in a private room with negative pressure is a more comprehensive measure.

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A client newly diagnosed with leukemia is experiencing bone pain and tenderness. What is the underlying cause of these symptoms?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is discussing the risk factors for leukemia with a client during a health education session. The client asks, "Can smoking increase my risk of leukemia?" How should the nurse respond?

Correct Answer is D

Explanation

A nurse is monitoring a client undergoing chemotherapy for leukemia. The client's white blood cell (WBC) count is significantly low. Which intervention should the nurse implement to protect the client from infection?

Correct Answer is C

Explanation

A nurse is conducting a health history assessment for a client newly diagnosed with leukemia. Which risk factor should the nurse prioritize when asking about the client's medical history?

A nurse is providing education to a client diagnosed with leukemia who asks, "What causes leukemia?" How should the nurse respond?

A client with suspected leukemia is scheduled for a lumbar puncture. What is the primary purpose of this procedure in the diagnostic evaluation of leukemia?

A nurse is explaining the difference between acute and chronic leukemia to a client. The nurse should include which statement about chronic leukemia?

A nurse is providing education to a client newly diagnosed with leukemia. The client asks, "What is leukemia?" How should the nurse respond?

A nurse is reviewing the diagnostic tests of a client suspected of having leukemia. The laboratory report shows elevated levels of blast cells in the peripheral blood. Which test result supports the suspicion of leukemia?

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?

A nurse is discussing treatment options with a client diagnosed with acute leukemia. The client asks, "What is the primary goal of chemotherapy in leukemia treatment?" How should the nurse respond?