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?
Acute myeloid leukemia (AML)
Chronic lymphocytic leukemia (CLL)
Acute lymphocytic leukemia (ALL)
Chronic myeloid leukemia (CML)
The Correct Answer is B
A) This choice is incorrect because swollen lymph nodes are more characteristic of chronic leukemia, not acute leukemia like AML.
B) This choice is correct. Chronic lymphocytic leukemia (CLL) is commonly associated with enlarged lymph nodes due to the accumulation of abnormal lymphocytes in these areas. It is a slow-progressing leukemia and often presents with lymphadenopathy.
C) This choice is incorrect because while ALL may involve enlarged lymph nodes, it is more commonly associated with symptoms like fatigue, bleeding, and bone pain.
D) This choice is incorrect because while CML may present with enlarged spleen and liver, it is less likely to cause significant lymphadenopathy compared to CLL.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A) This choice is correct. Using a soft-bristled toothbrush helps prevent gum bleeding and trauma to the oral mucosa, reducing the risk of infection in clients with low platelet counts.
B) This choice is incorrect because during leukemia treatment, outdoor activities may expose the client to potential sources of infection. It is better to avoid crowded places and maintain good hand hygiene.
C) This choice is correct. Raw fruits and vegetables may carry bacteria and pathogens, and the client with leukemia, particularly those undergoing chemotherapy, is at a higher risk of infection. It is advised to thoroughly wash and cook fruits and vegetables before consumption.
D) This choice is incorrect because although emotional support from friends and family is essential, it is crucial to limit the number of visitors to reduce the risk of exposure to potential infections.
Correct Answer is C
Explanation
A) This choice is incorrect because chemotherapy may cause a decreased platelet count, leading to a risk of bleeding, rather than increased blood clotting and thrombosis.
B) This choice is incorrect because chemotherapy does not typically cause elevated blood pressure and hypertension.
C) This choice is correct. Nausea, vomiting, and hair loss are common side effects of chemotherapy due to its effect on rapidly dividing cells, including hair follicles and cells lining the digestive tract.
D) This choice is incorrect because excessive bleeding and hemorrhage are not common side effects of chemotherapy in leukemia treatment.
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