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 C
Explanation
A) This choice is incorrect because chemotherapy is not a surgical procedure and does not involve the removal of tumor masses.
B) This choice is incorrect because while immunotherapy may be used as a treatment approach in some cases, the primary goal of chemotherapy is to directly destroy leukemia cells.
C) This choice is correct. The primary goal of chemotherapy in leukemia treatment is to use powerful medications to kill or inhibit the growth of leukemia cells, leading to remission.
D) This choice is incorrect because pain relief and symptom management are not the primary goals of chemotherapy in leukemia treatment.
Correct Answer is D
Explanation
A) This choice is incorrect because mild redness and tenderness at the IV site are common findings and may indicate a local inflammatory response to the IV infusion.
B) This choice is incorrect because a temperature of 99.8°F (37.7°C) is slightly elevated but not a critical finding. The client's healthcare provider should be notified if the temperature is significantly elevated or if other symptoms are present.
C) This choice is incorrect because a small amount of blood in the IV tubing may be due to a minor infiltration or a common occurrence during IV administration. However, the nurse should monitor the IV site and flow rate closely.
D) This choice is correct. Crackles and decreased breath sounds on auscultation may indicate fluid overload or pulmonary edema, which could be a severe complication of IV chemotherapy. The healthcare provider should be notified immediately to assess the client's respiratory status and provide appropriate intervention.
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