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 ["B","C","D","E"]
Explanation
A) This choice is incorrect because unexplained weight gain is not a common symptom of leukemia. Weight loss may be more typical in some cases.
B) This choice is correct. Easy bruising and bleeding are common manifestations of leukemia due to a decreased number of healthy blood cells and platelets, which are responsible for clotting.
C) This choice is correct. Persistent fatigue and weakness are common symptoms of leukemia. Leukemia can lead to a decrease in normal blood cells, causing anemia and leading to fatigue and weakness.
D) This choice is correct. Leukemia can weaken the immune system, making the person more susceptible to infections, leading to frequent infections and fever.
E) This choice is correct. Leukemia can cause the enlargement of lymph nodes, leading to painful and swollen lymph nodes.
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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