A client with leukemia is at risk of bleeding due to low platelet count. Which activity should the nurse instruct the client to avoid to prevent bleeding episodes?

Gentle stretching exercises

Deep vein thrombosis (DVT) prophylaxis

Use of soft-bristled toothbrush

Vigorous nose blowing

Answer and Explanation

The Correct Answer is D

A) This choice is incorrect because gentle stretching exercises are generally safe and do not significantly increase the risk of bleeding in clients with low platelet counts.

B) This choice is incorrect because deep vein thrombosis (DVT) prophylaxis, such as leg exercises and anti-embolism stockings, is essential to prevent blood clots but is not directly related to bleeding risk.

C) This choice is incorrect because using a soft-bristled toothbrush helps prevent gum bleeding and trauma to the oral mucosa but does not address the risk of bleeding from other areas.

D) This choice is correct. Vigorous nose blowing can lead to trauma to the nasal mucosa and increase the risk of bleeding, especially in clients with low platelet counts who are prone to bleeding episodes.

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Correct Answer is C

Explanation

A) This choice is incorrect because chronic leukemia can affect both children and adults, not just children and young adults.

B) This choice is incorrect because chronic leukemia progresses more slowly than acute leukemia and does not typically require immediate treatment.

C) This choice is correct. Chronic leukemia is characterized by the overproduction of mature and functional white blood cells. Unlike acute leukemia, the abnormal cells in chronic leukemia are more developed and functional, but they may not function correctly, leading to an accumulation of these cells in the blood.

D) This choice is incorrect because chronic leukemia usually presents with milder symptoms compared to acute leukemia. Hospitalization is not typically required unless complications arise.

A. History of frequent dental cavities B. Allergy to pollen and pet dander C. Recurrent urinary tract infections D. Previous treatment with chemotherapy and radiation

Correct Answer is D

Explanation

A) This choice is incorrect because a history of frequent dental cavities is not a known risk factor for leukemia.

B) This choice is incorrect because allergies to pollen and pet dander are not associated with an increased risk of leukemia.

C) This choice is incorrect because recurrent urinary tract infections are not known to be a risk factor for leukemia.

D) This choice is correct. Previous treatment with chemotherapy and radiation is a significant risk factor for developing leukemia. Certain chemotherapeutic agents and radiation therapy can damage healthy blood-forming cells in the bone marrow, potentially leading to the development of leukemia later on. This type of leukemia is often referred to as secondary or treatment-related leukemia.

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A client with leukemia is at risk of bleeding due to low platelet count. Which activity should the nurse instruct the client to avoid to prevent bleeding episodes?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is explaining the difference between acute and chronic leukemia to a client. The nurse should include which statement about chronic leukemia?

Correct Answer is C

Explanation

A nurse is conducting a health assessment for a client suspected of having leukemia. Which factor in the client's medical history should the nurse recognize as a potential risk factor for leukemia?

Correct Answer is D

Explanation

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

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A nurse is providing education to a client newly diagnosed with leukemia. The client asks, "Is leukemia a genetic condition?" How should the nurse respond?

A nurse is teaching a client with leukemia about preventing infection during treatment. Which instruction should the nurse include in the teaching plan?

A nurse is explaining the difference between acute and chronic leukemia to a client. The nurse should include which statement about chronic leukemia?