A client with chronic leukemia reports swollen lymph nodes in the neck, armpits, and groin. Which type of leukemia is most likely to present with these symptoms?

A) This choice is incorrect because leukemia is not limited to just one type. There are different subtypes of leukemia, including acute lymphocytic leukemia (ALL) and acute myeloid leukemia (AML), among others.

B) This choice is correct. Leukemia can be broadly classified into two main types: acute leukemia, which progresses rapidly and requires immediate treatment, and chronic leukemia, which progresses more slowly.

C) This choice is incorrect because the classification of leukemia is not solely based on age. Leukemia can occur in both children and adults.

D) This choice is incorrect because the classification of leukemia does not involve solid tumors. Leukemia is a cancer of the blood and bone marrow, characterized by the uncontrolled growth of abnormal white blood cells.

A) This choice is incorrect because impaired bone density would not directly cause ecchymoses on the skin. It might lead to an increased risk of fractures, but not bruising.

B) This choice is correct. Ecchymoses (bruises) of varying sizes with minimal trauma are common in leukemia due to a deficiency of platelets and impaired clotting factors in the blood. Leukemia can lead to decreased platelet production and clotting abnormalities, resulting in easy bleeding and bruising.

C) This choice is incorrect because increased production of platelets would improve clotting abilities and reduce the risk of ecchymoses.

D) This choice is incorrect because elevated levels of red blood cells would not directly cause ecchymoses on the skin. It may lead to other symptoms like increased blood viscosity.