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 B
Explanation
A) This choice is incorrect because the distinction between targeted therapy and chemotherapy is not based on whether the medications are derived from natural or synthetic sources.
B) This choice is correct. Targeted therapy is designed to selectively target leukemia cells, minimizing damage to healthy cells and reducing side effects compared to traditional chemotherapy, which affects both cancerous and healthy cells.
C) This choice is incorrect because the method of administration (hospitalization or outpatient) can vary for both targeted therapy and chemotherapy, depending on the specific drug and treatment plan.
D) This choice is incorrect because targeted therapy and chemotherapy are used in various stages of leukemia treatment, depending on the type and stage of the disease.
Correct Answer is C
Explanation
A) This choice is incorrect because administering pain medication for bone pain is important for the client's comfort, but it is not the priority in this situation. Neutropenia is characterized by a low neutrophil count, which can lead to an increased risk of infection.
B) This choice is incorrect because while monitoring for signs of bleeding or bruising is essential for a client with thrombocytopenia (low platelet count), it is not the priority in this scenario. Neutropenia increases the risk of infection, which is the primary concern.
C) This choice is correct. Implementing strict isolation precautions is the priority for a client with neutropenia. Neutropenia results in a decreased ability to fight off infections, so measures to prevent exposure to potential pathogens are crucial in reducing the risk of infection.
D) This choice is incorrect because avoiding invasive procedures and injections is a precaution for clients with thrombocytopenia, not specifically neutropenia. While both conditions involve low blood cell counts, the risk of infection is the primary concern in neutropenia.
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