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 B
Explanation
A) This choice is incorrect because mild fatigue and weakness are common symptoms in leukemia and may be expected in the client's condition.
B) This choice is correct. Bruising and petechiae are signs of decreased platelet count and potential clotting abnormalities, which can lead to bleeding complications. Immediate intervention is necessary to prevent serious bleeding.
C) This choice is incorrect because a weight loss of 2 pounds in a month is not alarming and can be caused by various factors unrelated to leukemia.
D) This choice is incorrect because occasional headaches and dizziness are not immediate concerns in leukemia and may have other causes.
Correct Answer is C
Explanation
A) This choice is correct. Using a soft-bristled toothbrush helps prevent gum bleeding and trauma to the oral mucosa, reducing the risk of infection in clients with low platelet counts.
B) This choice is incorrect because during leukemia treatment, outdoor activities may expose the client to potential sources of infection. It is better to avoid crowded places and maintain good hand hygiene.
C) This choice is correct. Raw fruits and vegetables may carry bacteria and pathogens, and the client with leukemia, particularly those undergoing chemotherapy, is at a higher risk of infection. It is advised to thoroughly wash and cook fruits and vegetables before consumption.
D) This choice is incorrect because although emotional support from friends and family is essential, it is crucial to limit the number of visitors to reduce the risk of exposure to potential infections.
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