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 C

Explanation

A) This choice is incorrect because a sedentary lifestyle is not a known risk factor for leukemia. Physical inactivity is associated with other health conditions but not leukemia.

B) This choice is incorrect because having a vegetarian diet is not a risk factor for developing leukemia.

C) This choice is correct. A history of tobacco use is a potential risk factor for leukemia. Smoking is associated with an increased risk of various cancers, and while the link to leukemia is not as clear as with other cancers, it is still considered a possible risk factor.

D) This choice is incorrect because a family history of diabetes is not a known risk factor for leukemia.

A. Peripheral neuropathy B. Nausea and vomiting C. Alopecia (hair loss) D. Neutropenia (low neutrophil count)

Correct Answer is D

Explanation

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.

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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

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Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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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?