A client with suspected leukemia is scheduled for a lumbar puncture. What is the primary purpose of this procedure in the diagnostic evaluation of leukemia?

Assess cerebrospinal fluid for leukemic cells

Evaluate liver and kidney function

Measure blood glucose levels

Determine the client's platelet count

Answer and Explanation

The Correct Answer is A

A) This choice is correct. A lumbar puncture is performed to assess cerebrospinal fluid (CSF) for the presence of leukemic cells in cases where leukemia may have spread to the central nervous system. This procedure helps determine if the client requires specific treatment to target leukemia in the CNS.

B) This choice is incorrect because a lumbar puncture is not primarily used to evaluate liver and kidney function.

C) This choice is incorrect because measuring blood glucose levels is not the primary purpose of a lumbar puncture.

D) This choice is incorrect because determining the client's platelet count is not the primary purpose of a lumbar puncture. Platelet counts are typically obtained through a blood test.

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Correct Answer is D

Explanation

A) This choice is incorrect because impaired wound healing is not a typical cause of enlarged gums and bleeding in leukemia.

B) This choice is incorrect because a hyperactive immune response is not directly related to oral symptoms in leukemia.

C) This choice is incorrect because overproduction of saliva is not a typical cause of enlarged gums and bleeding in leukemia.

D) This choice is correct. Enlarged gums (gingival hypertrophy) and bleeding from the gums are characteristic oral symptoms of acute leukemia. Leukemic cells can infiltrate the gums and oral tissues, leading to inflammation, bleeding, and gum enlargement.

Questions

A. "Use a soft-bristled toothbrush for oral care." B. "Participate in frequent outdoor activities to promote wellness." C. "Avoid eating raw fruits and vegetables." D. "Invite friends and family for regular visits to lift your spirits."

Correct Answer is C

Explanation

A) This choice is correct. Using a soft-bristled toothbrush helps prevent gum bleeding and trauma to the oral mucosa, reducing the risk of infection in clients with low platelet counts.

B) This choice is incorrect because during leukemia treatment, outdoor activities may expose the client to potential sources of infection. It is better to avoid crowded places and maintain good hand hygiene.

C) This choice is correct. Raw fruits and vegetables may carry bacteria and pathogens, and the client with leukemia, particularly those undergoing chemotherapy, is at a higher risk of infection. It is advised to thoroughly wash and cook fruits and vegetables before consumption.

D) This choice is incorrect because although emotional support from friends and family is essential, it is crucial to limit the number of visitors to reduce the risk of exposure to potential infections.

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A client with suspected leukemia is scheduled for a lumbar puncture. What is the primary purpose of this procedure in the diagnostic evaluation of leukemia?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client diagnosed with acute leukemia presents with enlarged gums and bleeding from the gums. What is the underlying cause of these oral symptoms?

Correct Answer is D

Explanation

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

Correct Answer is C

Explanation

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