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 incorrect because leukemia does not result from an overproduction of platelets. Leukemia involves an overproduction of abnormal white blood cells.
B) This choice is incorrect because leukemia is not caused by the body's immune system attacking healthy white blood cells. Instead, it involves the uncontrolled growth of abnormal white blood cells.
C) This choice is correct. Leukemia is characterized by genetic mutations in the bone marrow cells, particularly in the stem cells that produce white blood cells. These mutations lead to uncontrolled growth and proliferation of abnormal white blood cells, interfering with the normal production of other blood cells.
D) This choice is incorrect because an imbalance of red blood cells would not trigger the overproduction of white blood cells. Leukemia is specifically a disorder of white blood cell proliferation.
Correct Answer is B
Explanation
A) This choice is incorrect because acute leukemia is characterized by a rapid onset and fast progression of symptoms. It requires immediate treatment due to its aggressive nature.
B) This choice is correct. Acute leukemia is characterized by the uncontrolled and rapid proliferation of abnormal white blood cells in the bone marrow, which leads to a high accumulation of these immature cells in the bloodstream.
C) This choice is incorrect because, in general, acute leukemia has a lower survival rate compared to chronic leukemia. Acute leukemia requires immediate and aggressive treatment, and the prognosis depends on various factors, including the subtype and individual response to therapy.
D) This choice is incorrect because acute leukemia is not indolent or slow-growing. It progresses rapidly and can have a significant impact on blood cell counts and overall health.
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