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."
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.
Questions
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A) This choice is incorrect because ALL does not result in the overproduction of red blood cells. It primarily affects lymphocytes, not red blood cells.
B) This choice is incorrect because ALL involves the overproduction of abnormal lymphocytes, not normal white blood cells. These abnormal lymphocytes crowd out normal cells.
C) This choice is correct. In ALL, the uncontrolled proliferation of abnormal lymphocytes leads to the overcrowding of the bone marrow. As a result, normal bone marrow cells, including red blood cells, platelets, and other white blood cells, are suppressed, leading to various cytopenias.
D) This choice is incorrect because ALL does not cause the bone marrow to become fibrous and unable to produce any blood cells. That description is more characteristic of myelofibrosis, a different bone marrow disorder.
Correct Answer is C
Explanation
A) This choice is incorrect because leukemia does not primarily affect the lymph nodes. It is a cancer of the blood and bone marrow, where abnormal white blood cells are produced.
B) This choice is incorrect because leukemia is not characterized by the overproduction of platelets. Platelets are involved in blood clotting, and their overproduction is not a feature of leukemia.
C) This choice is correct. Leukemia is a type of cancer characterized by the uncontrolled proliferation of abnormal white blood cells in the bone marrow. These abnormal cells then enter the bloodstream, crowding out healthy blood cells and impairing normal blood cell function.
D) This choice is incorrect because leukemia is not an autoimmune disorder. It is a cancerous condition involving abnormal white blood cell growth.
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