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

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.

A) This choice is incorrect because alcohol-based mouthwash can further irritate the mucosal lining and worsen mucositis. It should be avoided.

B) This choice is incorrect because ice chips and cold beverages may provide temporary relief, but pain medication is the priority intervention to manage severe mucositis and alleviate discomfort.

C) This choice is correct. Administering prescribed pain medications, such as topical analgesics or systemic pain relief, is essential in managing the severe pain associated with mucositis.

D) This choice is incorrect because spicy foods can aggravate mucositis and should be avoided to prevent further irritation of the mucosal lining.