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 D
Explanation
A) This statement is correct. Having a family history of leukemia is considered a risk factor for developing the disease, particularly in cases of familial or hereditary leukemia.
B) This statement is correct. Exposure to high levels of ionizing radiation, such as during radiation therapy or nuclear accidents, is a well-known risk factor for leukemia.
C) This statement is correct. Individuals with Down syndrome have an increased risk of developing leukemia, particularly acute lymphoblastic leukemia (ALL) and acute myeloid leukemia (AML).
D) This statement is incorrect. While physical activity is beneficial for overall health and may reduce the risk of various cancers, there is no evidence to suggest that being physically active specifically reduces the risk of developing leukemia.
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.
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