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 swollen lymph nodes are more characteristic of chronic leukemia, not acute leukemia like AML.
B) This choice is correct. Chronic lymphocytic leukemia (CLL) is commonly associated with enlarged lymph nodes due to the accumulation of abnormal lymphocytes in these areas. It is a slow-progressing leukemia and often presents with lymphadenopathy.
C) This choice is incorrect because while ALL may involve enlarged lymph nodes, it is more commonly associated with symptoms like fatigue, bleeding, and bone pain.
D) This choice is incorrect because while CML may present with enlarged spleen and liver, it is less likely to cause significant lymphadenopathy compared to CLL.
Correct Answer is C
Explanation
A) This choice is incorrect because replacing damaged bone marrow with healthy stem cells is the primary goal of a stem cell transplant, not radiation therapy.
B) This choice is incorrect because while radiation therapy may be used to reduce the size of leukemia masses and induce remission in some cases, it is not typically used to eliminate all leukemia cells throughout the body.
C) This choice is correct. Radiation therapy is used to target and destroy cancer cells in specific areas where leukemia is localized, such as in the brain or other parts of the body. It can be used in combination with other treatment modalities.
D) This choice is incorrect because enhancing the body's immune response against leukemia is the goal of immunotherapy, not radiation therapy.
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