A nurse is assessing a client diagnosed with leukemia. Which finding requires immediate intervention?

A) This choice is incorrect because bone marrow suppression would lead to decreased production of blood cells but may not directly cause bone pain and tenderness.

B) This choice is incorrect because excessive calcium levels in the blood would not be a common cause of bone pain and tenderness in leukemia.

C) This choice is incorrect because rapid growth of bone tissue would not be a typical cause of bone pain and tenderness in leukemia.

D) This choice is correct. Bone pain and tenderness in leukemia are often caused by the accumulation of leukemic cells in the bones. These abnormal cells infiltrate the bone marrow and bone tissue, leading to pain and tenderness.

A) This choice is incorrect because a cytogenetic analysis is not primarily used to assess the client's immune response.

B) This choice is incorrect because determining the client's blood type is not the primary goal of a cytogenetic analysis in the diagnostic evaluation of leukemia.

C) This choice is correct. Cytogenetic analysis is a laboratory test that identifies specific genetic abnormalities, such as chromosomal rearrangements, deletions, or mutations, in the leukemic cells. These genetic findings are essential for diagnosing specific types of leukemia, determining prognosis, and guiding treatment decisions.

D) This choice is incorrect because evaluating the client's liver function is not the primary goal of a cytogenetic analysis in the diagnostic evaluation of leukemia.

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