A nurse is caring for a client with leukemia who has developed severe anemia and thrombocytopenia. Which process in the pathophysiology of leukemia contributes to these complications?
Increased production of normal red blood cells
Accumulation of normal platelets in the blood
Suppression of normal bone marrow stem cells
Infiltration of healthy tissues by cancerous cells
The Correct Answer is C
A) This choice is incorrect because leukemia does not lead to the increased production of normal red blood cells. Instead, it causes the overproduction of abnormal white blood cells.
B) This choice is incorrect because leukemia does not lead to the accumulation of normal platelets in the blood. Thrombocytopenia, or low platelet count, is common in leukemia due to the suppression of normal platelet production in the bone marrow.
C) This choice is correct. In leukemia, the proliferation of abnormal white blood cells crowds out and suppresses the normal bone marrow stem cells responsible for producing red blood cells, platelets, and other white blood cells. This suppression leads to anemia and thrombocytopenia.
D) This choice is incorrect because while cancerous cells may infiltrate healthy tissues in other types of cancer, leukemia primarily affects the bone marrow and blood, not other organs or tissues.
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Related Questions
Correct Answer is C
Explanation
A) This choice is incorrect because stimulating the production of red blood cells in the bone marrow is not the primary purpose of immunotherapy.
B) This choice is incorrect because suppressing the immune system is not the primary purpose of immunotherapy in leukemia treatment. In fact, immunotherapy aims to enhance the immune system's ability to recognize and target cancer cells.
C) This choice is correct. Immunotherapy is used to boost the body's natural defense mechanisms, particularly the immune system, to better recognize and attack leukemia cells.
D) This choice is incorrect because inhibiting the growth of cancerous tumors is not the primary purpose of immunotherapy. Other treatment approaches, such as chemotherapy or targeted therapy, may be used for this purpose.
Questions
Correct Answer is C
Explanation
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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