A nurse is caring for a client with chronic myeloid leukemia (CML). The client asks about the main treatment approach for CML. How should the nurse respond?
"The primary treatment for CML is stem cell transplantation."
"Chemotherapy and radiation therapy are the main treatments for CML."
"Targeted therapy with tyrosine kinase inhibitors is the standard treatment for CML."
"CML is typically managed with watchful waiting and supportive care."
The Correct Answer is C
A) This choice is incorrect because stem cell transplantation is not the primary treatment for all cases of chronic myeloid leukemia (CML). It may be considered in certain cases, but targeted therapy is the standard first-line treatment for most patients with CML.
B) This choice is incorrect because while chemotherapy and radiation therapy are used in some leukemia treatments, they are not the main treatments for CML. Targeted therapy with tyrosine kinase inhibitors is the standard approach for CML management.
C) This choice is correct. The mainstay of treatment for chronic myeloid leukemia (CML) is targeted therapy with tyrosine kinase inhibitors (TKIs). TKIs are oral medications that specifically target the abnormal protein produced by the BCR-ABL gene, which drives the overproduction of white blood cells in CML. These medications are highly effective and have revolutionized the treatment of CML, leading to improved outcomes for many patients.
D) This choice is incorrect because watchful waiting and supportive care may be considered for certain low-risk or asymptomatic cases of CML, but it is not the primary treatment approach. Targeted therapy with TKIs is the standard treatment for most patients with CML.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A) This choice is incorrect because a stem cell transplant is primarily used to replace the damaged bone marrow and restore normal blood cell production, but it is not a specific treatment for anemia.
B) This choice is correct. A blood transfusion involves infusing healthy red blood cells into the client's bloodstream to address anemia and improve oxygen-carrying capacity.
C) This choice is incorrect because radiation therapy is primarily used to target and destroy cancer cells, not to address anemia.
D) This choice is incorrect because immune checkpoint inhibitors are a type of immunotherapy used to enhance the body's immune response against cancer cells, but they are not a specific treatment for anemia.
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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