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) This choice is incorrect because swollen lymph nodes are more characteristic of chronic leukemia, not acute leukemia like AML.

B) This choice is correct. Chronic lymphocytic leukemia (CLL) is commonly associated with enlarged lymph nodes due to the accumulation of abnormal lymphocytes in these areas. It is a slow-progressing leukemia and often presents with lymphadenopathy.

C) This choice is incorrect because while ALL may involve enlarged lymph nodes, it is more commonly associated with symptoms like fatigue, bleeding, and bone pain.

D) This choice is incorrect because while CML may present with enlarged spleen and liver, it is less likely to cause significant lymphadenopathy compared to CLL.

A) This choice is incorrect because bone marrow suppression would lead to decreased production of blood cells but may not directly cause bone pain and tenderness.

B) This choice is incorrect because excessive calcium levels in the blood would not be a common cause of bone pain and tenderness in leukemia.

C) This choice is incorrect because rapid growth of bone tissue would not be a typical cause of bone pain and tenderness in leukemia.

D) This choice is correct. Bone pain and tenderness in leukemia are often caused by the accumulation of leukemic cells in the bones. These abnormal cells infiltrate the bone marrow and bone tissue, leading to pain and tenderness.