A nurse is discussing treatment options with a client diagnosed with acute leukemia. The client asks, "What is the primary goal of chemotherapy in leukemia treatment?" How should the nurse respond?
"To surgically remove the tumor mass."
"To stimulate the body's immune system to attack leukemia cells."
"To destroy leukemia cells and promote remission."
"To provide pain relief and manage symptoms."
The Correct Answer is C
A) This choice is incorrect because chemotherapy is not a surgical procedure and does not involve the removal of tumor masses.
B) This choice is incorrect because while immunotherapy may be used as a treatment approach in some cases, the primary goal of chemotherapy is to directly destroy leukemia cells.
C) This choice is correct. The primary goal of chemotherapy in leukemia treatment is to use powerful medications to kill or inhibit the growth of leukemia cells, leading to remission.
D) This choice is incorrect because pain relief and symptom management are not the primary goals of chemotherapy in leukemia treatment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A) This choice is incorrect because while a complete blood count (CBC) is an important initial screening test for leukemia, it alone is not definitive for diagnosis. A CBC may show abnormal levels of blood cells, prompting further investigation, including a bone marrow biopsy.
B) This choice is incorrect because a urinalysis is not used to diagnose leukemia. It is a test used to evaluate kidney function and detect urinary abnormalities.
C) This choice is incorrect because a chest X-ray is not a definitive diagnostic tool for leukemia. It is primarily used to assess the lungs and chest organs for conditions such as pneumonia or tumors.
D) This choice is correct. A bone marrow biopsy is a definitive diagnostic tool to confirm leukemia. In this procedure, a small sample of bone marrow is taken from the hipbone or breastbone and examined under a microscope to determine if leukemia cells are present. It allows for the identification of abnormal cells in the bone marrow, helping to establish the diagnosis and type of leukemia.
Correct Answer is C
Explanation
A) This choice is incorrect because stem cell transplantation is not the primary treatment for all cases of chronic myeloid leukemia (CML). It may be considered in certain cases, but targeted therapy is the standard first-line treatment for most patients with CML.
B) This choice is incorrect because while chemotherapy and radiation therapy are used in some leukemia treatments, they are not the main treatments for CML. Targeted therapy with tyrosine kinase inhibitors is the standard approach for CML management.
C) This choice is correct. The mainstay of treatment for chronic myeloid leukemia (CML) is targeted therapy with tyrosine kinase inhibitors (TKIs). TKIs are oral medications that specifically target the abnormal protein produced by the BCR-ABL gene, which drives the overproduction of white blood cells in CML. These medications are highly effective and have revolutionized the treatment of CML, leading to improved outcomes for many patients.
D) This choice is incorrect because watchful waiting and supportive care may be considered for certain low-risk or asymptomatic cases of CML, but it is not the primary treatment approach. Targeted therapy with TKIs is the standard treatment for most patients with CML.
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