A nurse is caring for a client with acute lymphocytic leukemia (ALL) who is undergoing chemotherapy. The client asks about the expected duration of treatment. What is the nurse's best response?

"Chemotherapy for acute lymphocytic leukemia usually lasts for a few weeks."

"Treatment for ALL can extend over several years, including multiple phases."

"Most clients with ALL receive chemotherapy for a few days and then switch to radiation therapy."

"ALL is typically managed with a single round of high-dose chemotherapy."

Answer and Explanation

The Correct Answer is B

A) This choice is incorrect because chemotherapy for acute lymphocytic leukemia (ALL) usually lasts much longer than a few weeks. ALL treatment consists of several phases, and the overall duration can extend over several years.

B) This choice is correct. Treatment for acute lymphocytic leukemia (ALL) typically involves multiple phases, including induction, consolidation, and maintenance therapy. The induction phase aims to achieve remission, the consolidation phase aims to eliminate any remaining cancer cells, and the maintenance phase aims to prevent relapse and keep the leukemia in remission. Overall, the treatment can extend over several years, depending on the client's response to therapy and risk factors.

C) This choice is incorrect because it does not accurately reflect the standard treatment approach for ALL. Clients with ALL do not typically switch from chemotherapy to radiation therapy after a few days.

D) This choice is incorrect because ALL treatment typically involves multiple rounds of chemotherapy, not just a single round. The goal is to achieve long-term remission and prevent relapse, which requires a more comprehensive treatment approach over an extended period.

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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.

A. A 25-year-old client with a sedentary lifestyle B. A 40-year-old client with a vegetarian diet C. A 60-year-old client with a history of tobacco use D. A 70-year-old client with a family history of diabetes

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.

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A nurse is caring for a client with acute lymphocytic leukemia (ALL) who is undergoing chemotherapy. The client asks about the expected duration of treatment. What is the nurse's best response?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing a client for a diagnostic procedure to confirm leukemia. Which test is commonly used to assess the client's bone marrow?

Correct Answer is B

Explanation

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 assessing a client with suspected leukemia. Which symptom should the nurse prioritize to confirm the diagnosis?

A client with suspected leukemia is undergoing flow cytometry analysis. What is the primary purpose of this test in the diagnostic evaluation of leukemia?

A client with leukemia is at risk of bleeding due to low platelet count. Which activity should the nurse instruct the client to avoid to prevent bleeding episodes?

A nurse is providing education to a client diagnosed with leukemia about common signs and symptoms. The nurse should include which symptoms as potential manifestations of leukemia? Select all that apply.

A client asks the nurse, "What is leukemia?" How should the nurse respond?

A nurse is explaining the purpose of a computed tomography (CT) scan to a client with suspected leukemia. What is the primary goal of a CT scan in the diagnostic evaluation of leukemia?

A nurse is providing education to a client newly diagnosed with leukemia. The client asks, "Is leukemia a genetic condition?" How should the nurse respond?

A nurse is conducting a health assessment for a client suspected of having leukemia. The client mentions a recent history of exposure to benzene at the workplace. How should the nurse respond to this information?