A nurse is assessing a client with leukemia and finds multiple ecchymoses (bruises) of varying sizes on the skin. The client mentions minimal trauma to the affected areas. What is the most likely cause of these ecchymoses?

Impaired bone density

Deficiency of clotting factors

Increased production of platelets

Elevated levels of red blood cells

Answer and Explanation

The Correct Answer is B

A) This choice is incorrect because impaired bone density would not directly cause ecchymoses on the skin. It might lead to an increased risk of fractures, but not bruising.

B) This choice is correct. Ecchymoses (bruises) of varying sizes with minimal trauma are common in leukemia due to a deficiency of platelets and impaired clotting factors in the blood. Leukemia can lead to decreased platelet production and clotting abnormalities, resulting in easy bleeding and bruising.

C) This choice is incorrect because increased production of platelets would improve clotting abilities and reduce the risk of ecchymoses.

D) This choice is incorrect because elevated levels of red blood cells would not directly cause ecchymoses on the skin. It may lead to other symptoms like increased blood viscosity.

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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. "CLL involves the overproduction of abnormal myeloid cells, while other types of leukemia affect lymphocytes." B. "Unlike other leukemias, CLL has a rapid onset and aggressive course of disease progression." C. "In CLL, abnormal lymphocytes accumulate and interfere with the production of other blood cells in the bone marrow." D. "CLL is characterized by a genetic mutation in the bone marrow that leads to uncontrolled growth of red blood cells."

Correct Answer is C

Explanation

A) This choice is incorrect because CLL specifically involves the overproduction of abnormal lymphocytes, not myeloid cells. Myeloid cells are affected in other types of leukemia, such as AML.

B) This choice is incorrect because CLL is a chronic and indolent type of leukemia. It has a slow onset and progresses slowly over time, unlike some other leukemias that may have a more rapid course.

C) This choice is correct. In CLL, abnormal lymphocytes, mainly B-lymphocytes, accumulate in the bone marrow and interfere with the production of other blood cells, including red blood cells, platelets, and other white blood cells.

D) This choice is incorrect because CLL does not involve a genetic mutation leading to uncontrolled growth of red blood cells. That description is more characteristic of polycythemia vera, a different type of blood disorder.

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A nurse is assessing a client with leukemia and finds multiple ecchymoses (bruises) of varying sizes on the skin. The client mentions minimal trauma to the affected areas. What is the most likely cause of these ecchymoses?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the medical records of clients diagnosed with leukemia on a cancer unit. Which client's medical history should the nurse recognize as a possible risk factor for developing leukemia?

Correct Answer is C

Explanation

A nurse is providing education to a client recently diagnosed with chronic lymphocytic leukemia (CLL). The client asks, "How does CLL differ from other types of leukemia?" How should the nurse respond?

Correct Answer is C

Explanation

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?

A nurse is providing a community education session about leukemia risk factors. Which statement by a participant indicates a need for further clarification?

A client asks the nurse about the role of the lymphatic system in leukemia. How should the nurse respond?

A nurse is reviewing the diagnostic tests of a client suspected of having leukemia. The laboratory report shows elevated levels of blast cells in the peripheral blood. Which test result supports the suspicion of leukemia?

A nurse is caring for a client with chronic myeloid leukemia (CML). The client asks about the main treatment approach for CML. How should the nurse respond?

A client with leukemia is receiving immunotherapy as part of their treatment plan. What is the primary purpose of immunotherapy in leukemia treatment?

A nurse is conducting a health history assessment for a client newly diagnosed with leukemia. Which risk factor should the nurse prioritize when asking about the client's medical history?

A client diagnosed with leukemia is experiencing frequent infections and recurrent fevers. Which type of blood cells is likely affected by the leukemia, contributing to these symptoms?