A nurse is assessing a client diagnosed with leukemia. Which finding requires immediate intervention?
Mild fatigue and weakness
Bruising and petechiae on the skin
Weight loss of 2 pounds in the past month
Occasional headaches and dizziness
The Correct Answer is B
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A) This choice is incorrect because administering pain medication for bone pain is important for the client's comfort, but it is not the priority in this situation. Neutropenia is characterized by a low neutrophil count, which can lead to an increased risk of infection.
B) This choice is incorrect because while monitoring for signs of bleeding or bruising is essential for a client with thrombocytopenia (low platelet count), it is not the priority in this scenario. Neutropenia increases the risk of infection, which is the primary concern.
C) This choice is correct. Implementing strict isolation precautions is the priority for a client with neutropenia. Neutropenia results in a decreased ability to fight off infections, so measures to prevent exposure to potential pathogens are crucial in reducing the risk of infection.
D) This choice is incorrect because avoiding invasive procedures and injections is a precaution for clients with thrombocytopenia, not specifically neutropenia. While both conditions involve low blood cell counts, the risk of infection is the primary concern in neutropenia.
Questions
Correct Answer is B
Explanation
A) This choice is incorrect because a complete blood count (CBC) provides information about the number of blood cells, but it does not directly assess the bone marrow for leukemia.
B) This choice is correct. Bone marrow aspiration and biopsy involve the collection of bone marrow samples from the sternum or hip bone. These samples are then analyzed to determine the presence of leukemia cells, assess cell morphology, and determine the type of leukemia.
C) This choice is incorrect because flow cytometry analysis is used to identify specific markers on the surface of cells and can aid in diagnosing and classifying leukemia. However, it is not the primary test used to assess the bone marrow directly.
D) This choice is incorrect because magnetic resonance imaging (MRI) is not commonly used to assess bone marrow in the diagnostic evaluation of leukemia.
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