A nurse is conducting a health history assessment for a client newly diagnosed with leukemia. Which risk factor should the nurse prioritize when asking about the client's medical history?
Family history of diabetes
Exposure to asbestos in the workplace
History of autoimmune disorders
Previous diagnosis of lymphoma
The Correct Answer is D
A) This choice is incorrect because a family history of diabetes is not a known risk factor for leukemia. While genetics can play a role in some leukemia cases, diabetes is not associated with leukemia development.
B) This choice is incorrect because exposure to asbestos is a risk factor for certain types of cancer, such as lung cancer and mesothelioma, but it is not a primary risk factor for leukemia.
C) This choice is incorrect because while autoimmune disorders can affect the immune system, they are not a known risk factor for leukemia.
D) This choice is correct. A previous diagnosis of lymphoma is a significant risk factor for developing leukemia. Lymphoma and leukemia are both types of blood cancers, and individuals with a history of lymphoma have an increased risk of developing leukemia.
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Related Questions
Correct Answer is D
Explanation
A) This choice is incorrect because a bone marrow biopsy is not performed to remove a tumor mass. The purpose of the procedure is to obtain a sample of bone marrow tissue for diagnostic evaluation.
B) This choice is incorrect because assessing the presence of circulating cancer cells in the bloodstream is typically done through a blood test, not a bone marrow biopsy. The biopsy provides direct information about the condition of the bone marrow.
C) This choice is incorrect because evaluating the overall blood cell count and differential is typically done through a complete blood count (CBC) test, not a bone marrow biopsy. The biopsy provides more detailed information about the bone marrow and its cellular composition.
D) This choice is correct. The primary purpose of a bone marrow biopsy is to obtain a sample of bone marrow tissue for examination under a microscope. This allows healthcare professionals to assess the presence of abnormal cells, determine the type and extent of leukemia, and guide treatment decisions.
Correct Answer is C
Explanation
A) This choice is incorrect because a bone marrow biopsy is not primarily performed to assess the client's platelet count. Platelet counts are typically obtained through a blood test.
B) This choice is incorrect because evaluating the effectiveness of chemotherapy is not the primary reason for performing a bone marrow biopsy in the diagnostic evaluation of leukemia. The biopsy is performed to determine the presence of cancerous cells in the bone marrow and aid in diagnosing leukemia.
C) This choice is correct. A bone marrow biopsy involves the collection of bone marrow samples to determine the presence of cancerous cells and assess cell morphology in the bone marrow. This information is crucial in diagnosing leukemia and determining the appropriate treatment plan.
D) This choice is incorrect because measuring the client's bone density is not the primary reason for performing a bone marrow biopsy.
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