A client with leukemia is receiving radiation therapy. The nurse should assess the client regularly for which potential side effect of this treatment?
Peripheral neuropathy
Nausea and vomiting
Alopecia (hair loss)
Neutropenia (low neutrophil count)
The Correct Answer is D
A) This choice is incorrect because peripheral neuropathy is more commonly associated with certain chemotherapy drugs, not radiation therapy.
B) This choice is incorrect because nausea and vomiting are common side effects of chemotherapy, not radiation therapy.
C) This choice is incorrect because alopecia (hair loss) is more commonly associated with chemotherapy, not radiation therapy.
D) This choice is correct. Neutropenia, which is a decrease in the number of neutrophils (a type of white blood cell), is a potential side effect of radiation therapy. This can increase the client's risk of infection, and regular monitoring of blood counts is necessary during treatment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A) This choice is incorrect because bone marrow suppression would lead to decreased production of blood cells but may not directly cause bone pain and tenderness.
B) This choice is incorrect because excessive calcium levels in the blood would not be a common cause of bone pain and tenderness in leukemia.
C) This choice is incorrect because rapid growth of bone tissue would not be a typical cause of bone pain and tenderness in leukemia.
D) This choice is correct. Bone pain and tenderness in leukemia are often caused by the accumulation of leukemic cells in the bones. These abnormal cells infiltrate the bone marrow and bone tissue, leading to pain and tenderness.
Correct Answer is B
Explanation
A) This choice is incorrect because mild fatigue and weakness are common symptoms in leukemia and may be expected in the client's condition.
B) This choice is correct. Bruising and petechiae are signs of decreased platelet count and potential clotting abnormalities, which can lead to bleeding complications. Immediate intervention is necessary to prevent serious bleeding.
C) This choice is incorrect because a weight loss of 2 pounds in a month is not alarming and can be caused by various factors unrelated to leukemia.
D) This choice is incorrect because occasional headaches and dizziness are not immediate concerns in leukemia and may have other causes.
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