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.

Questions

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Correct Answer is D

Explanation

A) This choice is incorrect because while a complete blood count (CBC) is an important initial screening test for leukemia, it alone is not definitive for diagnosis. A CBC may show abnormal levels of blood cells, prompting further investigation, including a bone marrow biopsy.

B) This choice is incorrect because a urinalysis is not used to diagnose leukemia. It is a test used to evaluate kidney function and detect urinary abnormalities.

C) This choice is incorrect because a chest X-ray is not a definitive diagnostic tool for leukemia. It is primarily used to assess the lungs and chest organs for conditions such as pneumonia or tumors.

D) This choice is correct. A bone marrow biopsy is a definitive diagnostic tool to confirm leukemia. In this procedure, a small sample of bone marrow is taken from the hipbone or breastbone and examined under a microscope to determine if leukemia cells are present. It allows for the identification of abnormal cells in the bone marrow, helping to establish the diagnosis and type of leukemia.

A. "AML is characterized by the overproduction of immature lymphocytes, leading to bone marrow failure." B. "In AML, abnormal proliferation of red blood cells causes decreased oxygen-carrying capacity in the blood." C. "Genetic mutations in the myeloid stem cells lead to uncontrolled growth of abnormal myeloid cells in AML." D. "AML is caused by the abnormal growth of plasma cells, leading to the production of abnormal antibodies."

Correct Answer is C

Explanation

A) This choice is incorrect because AML is not characterized by the overproduction of immature lymphocytes. It involves the uncontrolled proliferation of abnormal myeloid cells in the bone marrow.

B) This choice is incorrect because AML does not cause abnormal proliferation of red blood cells. Anemia may occur as a result of AML due to the displacement of normal blood-forming cells in the bone marrow.

C) This choice is correct. AML is a type of leukemia that arises from genetic mutations in the myeloid stem cells. These mutations lead to uncontrolled growth and accumulation of abnormal myeloid cells, including granulocytes, monocytes, and platelets.

D) This choice is incorrect because the abnormal growth of plasma cells leading to the production of abnormal antibodies is characteristic of multiple myeloma, not AML.

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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 assessing a client suspected of having leukemia. Which laboratory test is a definitive diagnostic tool to confirm leukemia?

Correct Answer is D

Explanation

A nurse is caring for a client diagnosed with acute myeloid leukemia (AML). Which statement best describes the pathophysiology of AML?

Correct Answer is C

Explanation

A client with leukemia is undergoing a bone marrow biopsy for diagnosis and staging. The nurse should explain that the primary purpose of this procedure is to:

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 client with leukemia is receiving radiation therapy. The nurse should assess the client regularly for which potential side effect of this treatment?

A client with leukemia is prescribed targeted therapy. What is the primary difference between targeted therapy and traditional chemotherapy?

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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 nurse is discussing treatment options with a client diagnosed with acute leukemia. The client asks, "What is the primary goal of chemotherapy in leukemia treatment?" How should the nurse respond?

A nurse is discussing the risk factors for leukemia with a client during a health education session. The client asks, "Can smoking increase my risk of leukemia?" How should the nurse respond?