A nurse is caring for a client with leukemia who reports easy bruising and petechiae on the skin. What is the underlying cause of these symptoms?
Increased platelet production
Overproduction of red blood cells
Impaired clotting factors in the blood
Deficiency of white blood cells
The Correct Answer is C
A) This choice is incorrect because increased platelet production would not lead to easy bruising and petechiae. It would, in fact, improve clotting abilities.
B) This choice is incorrect because overproduction of red blood cells would not directly cause easy bruising and petechiae. It may lead to symptoms like fatigue and pallor.
C) This choice is correct. Easy bruising and petechiae are common in leukemia due to a deficiency of platelets and impaired clotting factors in the blood. Leukemia can lead to decreased platelet production and clotting abnormalities, resulting in easy bleeding and bruising.
D) This choice is incorrect because a deficiency of white blood cells would not directly cause easy bruising and petechiae. It might lead to an increased risk of infections.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A) This choice is incorrect because chronic leukemia can affect both children and adults, not just children and young adults.
B) This choice is incorrect because chronic leukemia progresses more slowly than acute leukemia and does not typically require immediate treatment.
C) This choice is correct. Chronic leukemia is characterized by the overproduction of mature and functional white blood cells. Unlike acute leukemia, the abnormal cells in chronic leukemia are more developed and functional, but they may not function correctly, leading to an accumulation of these cells in the blood.
D) This choice is incorrect because chronic leukemia usually presents with milder symptoms compared to acute leukemia. Hospitalization is not typically required unless complications arise.
Correct Answer is B
Explanation
A) This choice is incorrect because mild fatigue and weakness are common symptoms in leukemia and may be expected in the client's condition.
B) This choice is correct. Bruising and petechiae are signs of decreased platelet count and potential clotting abnormalities, which can lead to bleeding complications. Immediate intervention is necessary to prevent serious bleeding.
C) This choice is incorrect because a weight loss of 2 pounds in a month is not alarming and can be caused by various factors unrelated to leukemia.
D) This choice is incorrect because occasional headaches and dizziness are not immediate concerns in leukemia and may have other causes.
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