A client with leukemia is experiencing severe mucositis as a side effect of chemotherapy. Which nursing intervention should be prioritized to manage mucositis?

Encouraging the use of alcohol-based mouthwash

Providing ice chips and cold beverages

Administering prescribed pain medications

Encouraging the consumption of spicy foods

Answer and Explanation

The Correct Answer is C

A) This choice is incorrect because alcohol-based mouthwash can further irritate the mucosal lining and worsen mucositis. It should be avoided.

B) This choice is incorrect because ice chips and cold beverages may provide temporary relief, but pain medication is the priority intervention to manage severe mucositis and alleviate discomfort.

C) This choice is correct. Administering prescribed pain medications, such as topical analgesics or systemic pain relief, is essential in managing the severe pain associated with mucositis.

D) This choice is incorrect because spicy foods can aggravate mucositis and should be avoided to prevent further irritation of the mucosal lining.

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Correct Answer is C

Explanation

A) This choice is incorrect because administering pain medication for bone pain is important for the client's comfort, but it is not the priority in this situation. Neutropenia is characterized by a low neutrophil count, which can lead to an increased risk of infection.

B) This choice is incorrect because while monitoring for signs of bleeding or bruising is essential for a client with thrombocytopenia (low platelet count), it is not the priority in this scenario. Neutropenia increases the risk of infection, which is the primary concern.

C) This choice is correct. Implementing strict isolation precautions is the priority for a client with neutropenia. Neutropenia results in a decreased ability to fight off infections, so measures to prevent exposure to potential pathogens are crucial in reducing the risk of infection.

D) This choice is incorrect because avoiding invasive procedures and injections is a precaution for clients with thrombocytopenia, not specifically neutropenia. While both conditions involve low blood cell counts, the risk of infection is the primary concern in neutropenia.

Questions

A. A gradual onset and slow progression of symptoms. B. Abnormal white blood cells that divide and accumulate rapidly. C. A higher survival rate compared to chronic leukemia. D. An indolent course with minimal impact on blood cell counts.

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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A client with leukemia is experiencing severe mucositis as a side effect of chemotherapy. Which nursing intervention should be prioritized to manage mucositis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing care for a client undergoing treatment for leukemia. The client develops neutropenia. What is the nurse's priority intervention?

Correct Answer is C

Explanation

A client is diagnosed with acute leukemia. The nurse explains that acute leukemia is characterized by:

Correct Answer is B

Explanation

A nurse is preparing a client for a diagnostic procedure to confirm leukemia. Which test is commonly used to assess the client's bone marrow?

A nurse is assessing a client suspected of having leukemia. Which laboratory test is a definitive diagnostic tool to confirm leukemia?

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A client asks the nurse about the different types of leukemia. Which response by the nurse is accurate?

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A nurse is reviewing the diagnostic tests of a client suspected of having leukemia. The laboratory report shows elevated levels of blast cells in the peripheral blood. Which test result supports the suspicion of leukemia?

A nurse is conducting a health history assessment for a client newly diagnosed with leukemia. Which risk factor should the nurse prioritize when asking about the client's medical history?

A nurse is providing education to a client recently diagnosed with chronic lymphocytic leukemia (CLL). The client asks, "How does CLL differ from other types of leukemia?" How should the nurse respond?