A client with leukemia is undergoing a bone marrow biopsy for diagnosis and staging. The nurse should explain that the primary purpose of this procedure is to:

Remove a tumor mass from the bone marrow.

Assess the presence of circulating cancer cells in the bloodstream.

Evaluate the overall blood cell count and differential.

Obtain a sample of bone marrow tissue for examination.

Answer and Explanation

The Correct Answer is D

A) This choice is incorrect because a bone marrow biopsy is not performed to remove a tumor mass. The purpose of the procedure is to obtain a sample of bone marrow tissue for diagnostic evaluation.

B) This choice is incorrect because assessing the presence of circulating cancer cells in the bloodstream is typically done through a blood test, not a bone marrow biopsy. The biopsy provides direct information about the condition of the bone marrow.

C) This choice is incorrect because evaluating the overall blood cell count and differential is typically done through a complete blood count (CBC) test, not a bone marrow biopsy. The biopsy provides more detailed information about the bone marrow and its cellular composition.

D) This choice is correct. The primary purpose of a bone marrow biopsy is to obtain a sample of bone marrow tissue for examination under a microscope. This allows healthcare professionals to assess the presence of abnormal cells, determine the type and extent of leukemia, and guide treatment decisions.

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Correct Answer is D

Explanation

A) This choice is incorrect because a family history of diabetes is not a known risk factor for leukemia. While genetics can play a role in some leukemia cases, diabetes is not associated with leukemia development.

B) This choice is incorrect because exposure to asbestos is a risk factor for certain types of cancer, such as lung cancer and mesothelioma, but it is not a primary risk factor for leukemia.

C) This choice is incorrect because while autoimmune disorders can affect the immune system, they are not a known risk factor for leukemia.

D) This choice is correct. A previous diagnosis of lymphoma is a significant risk factor for developing leukemia. Lymphoma and leukemia are both types of blood cancers, and individuals with a history of lymphoma have an increased risk of developing leukemia.

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 undergoing a bone marrow biopsy for diagnosis and staging. The nurse should explain that the primary purpose of this procedure is to:

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Naxlex Comprehensive Predictor Exams

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?

Correct Answer is D

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

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