A nurse is assessing a client suspected of having leukemia. Which laboratory test is a definitive diagnostic tool to confirm leukemia?
Complete blood count (CBC)
Urinalysis
Chest X-ray
Bone marrow biopsy
The Correct Answer is D
A) This choice is incorrect because while a complete blood count (CBC) is an important initial screening test for leukemia, it alone is not definitive for diagnosis. A CBC may show abnormal levels of blood cells, prompting further investigation, including a bone marrow biopsy.
B) This choice is incorrect because a urinalysis is not used to diagnose leukemia. It is a test used to evaluate kidney function and detect urinary abnormalities.
C) This choice is incorrect because a chest X-ray is not a definitive diagnostic tool for leukemia. It is primarily used to assess the lungs and chest organs for conditions such as pneumonia or tumors.
D) This choice is correct. A bone marrow biopsy is a definitive diagnostic tool to confirm leukemia. In this procedure, a small sample of bone marrow is taken from the hipbone or breastbone and examined under a microscope to determine if leukemia cells are present. It allows for the identification of abnormal cells in the bone marrow, helping to establish the diagnosis and type of leukemia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A) This choice is incorrect because alcohol-based mouthwash can further irritate the mucosal lining and worsen mucositis. It should be avoided.
B) This choice is incorrect because ice chips and cold beverages may provide temporary relief, but pain medication is the priority intervention to manage severe mucositis and alleviate discomfort.
C) This choice is correct. Administering prescribed pain medications, such as topical analgesics or systemic pain relief, is essential in managing the severe pain associated with mucositis.
D) This choice is incorrect because spicy foods can aggravate mucositis and should be avoided to prevent further irritation of the mucosal lining.
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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