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."

Answer and Explanation

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.

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Correct Answer is C

Explanation

A) This choice is incorrect because leukemia does not result from an overproduction of platelets. Leukemia involves an overproduction of abnormal white blood cells.

B) This choice is incorrect because leukemia is not caused by the body's immune system attacking healthy white blood cells. Instead, it involves the uncontrolled growth of abnormal white blood cells.

C) This choice is correct. Leukemia is characterized by genetic mutations in the bone marrow cells, particularly in the stem cells that produce white blood cells. These mutations lead to uncontrolled growth and proliferation of abnormal white blood cells, interfering with the normal production of other blood cells.

D) This choice is incorrect because an imbalance of red blood cells would not trigger the overproduction of white blood cells. Leukemia is specifically a disorder of white blood cell proliferation.

A. Red blood cells B. Platelets C. Neutrophils D. Lymphocytes

Correct Answer is C

Explanation

A) This choice is incorrect because red blood cells are not directly involved in the body's immune response. Decreased red blood cells may cause anemia, but they are not responsible for frequent infections and recurrent fevers.

B) This choice is incorrect because platelets are involved in clotting and do not directly impact the body's immune response.

C) This choice is correct. Neutrophils are a type of white blood cell responsible for fighting infections. In leukemia, particularly when neutrophils are affected, the body's ability to fight infections becomes compromised, leading to frequent infections and recurrent fevers.

D) This choice is incorrect because lymphocytes, specifically B-lymphocytes, are affected in chronic lymphocytic leukemia (CLL). While CLL can lead to increased susceptibility to infections, neutrophil dysfunction is more commonly associated with recurrent infections in leukemia.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client diagnosed with leukemia asks the nurse, "What causes the overproduction of abnormal white blood cells?" How should the nurse respond?

Correct Answer is C

Explanation

A client diagnosed with leukemia is experiencing frequent infections and recurrent fevers. Which type of blood cells is likely affected by the leukemia, contributing to these symptoms?

Correct Answer is C

Explanation

A nurse is conducting a health assessment for a client suspected of having leukemia. Which factor in the client's medical history should the nurse recognize as a potential risk factor for leukemia?

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 monitoring a client undergoing chemotherapy for leukemia. The client's white blood cell (WBC) count is significantly low. Which intervention should the nurse implement to protect the client from infection?

A nurse is assessing a client with leukemia and finds multiple ecchymoses (bruises) of varying sizes on the skin. The client mentions minimal trauma to the affected areas. What is the most likely cause of these ecchymoses?

A client with leukemia is receiving immunotherapy as part of their treatment plan. What is the primary purpose of immunotherapy in leukemia treatment?

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

A nurse is providing care for a client undergoing treatment for leukemia. The client develops neutropenia. What is the nurse's priority intervention?

A client with leukemia is receiving intravenous (IV) chemotherapy. Which assessment finding should the nurse report to the healthcare provider immediately?