A client with leukemia is scheduled to undergo a stem cell transplant. The client asks, "Where do the stem cells come from?" What is the nurse's best response?

"Stem cells are extracted from the client's cancerous tissues."

"Stem cells are collected from the bone marrow of a matched donor."

"Stem cells are taken from a tumor and processed for transplantation."

"Stem cells are harvested from the client's peripheral blood."

Answer and Explanation

The Correct Answer is B

A) This choice is incorrect because stem cells used in transplantation are typically not extracted from the client's cancerous tissues.

B) This choice is correct. In a stem cell transplant, stem cells are collected from the bone marrow of a matched donor (allogeneic transplant) or the client themselves (autologous transplant). These stem cells are then infused into the client's bloodstream to replace the damaged bone marrow and produce healthy blood cells.

C) This choice is incorrect because stem cells used in transplantation are not taken from a tumor.

D) This choice is incorrect because stem cells used in transplantation are not harvested from the client's peripheral blood.

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Correct Answer is C

Explanation

A) This choice is incorrect because ALL does not result in the overproduction of red blood cells. It primarily affects lymphocytes, not red blood cells.

B) This choice is incorrect because ALL involves the overproduction of abnormal lymphocytes, not normal white blood cells. These abnormal lymphocytes crowd out normal cells.

C) This choice is correct. In ALL, the uncontrolled proliferation of abnormal lymphocytes leads to the overcrowding of the bone marrow. As a result, normal bone marrow cells, including red blood cells, platelets, and other white blood cells, are suppressed, leading to various cytopenias.

D) This choice is incorrect because ALL does not cause the bone marrow to become fibrous and unable to produce any blood cells. That description is more characteristic of myelofibrosis, a different bone marrow disorder.

A. Unexplained weight gain B. Easy bruising and bleeding C. Persistent fatigue and weakness D. Frequent infections and fever E. Painful, swollen lymph nodes

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.

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A client with leukemia is scheduled to undergo a stem cell transplant. The client asks, "Where do the stem cells come from?" What is the nurse's best response?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client newly diagnosed with acute lymphocytic leukemia (ALL) asks the nurse, "What happens to the normal bone marrow cells in ALL?" How should the nurse respond?

Correct Answer is C

Explanation

A nurse is providing education to a client diagnosed with leukemia about common signs and symptoms. The nurse should include which symptoms as potential manifestations of leukemia? Select all that apply.

Correct Answer is ["B","C","D","E"]

Explanation

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