A nurse is explaining the difference between acute and chronic leukemia to a client. The nurse should include which statement about chronic leukemia?

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.

A) This choice is incorrect because impaired bone density would not directly cause ecchymoses on the skin. It might lead to an increased risk of fractures, but not bruising.

B) This choice is correct. Ecchymoses (bruises) of varying sizes with minimal trauma 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.

C) This choice is incorrect because increased production of platelets would improve clotting abilities and reduce the risk of ecchymoses.

D) This choice is incorrect because elevated levels of red blood cells would not directly cause ecchymoses on the skin. It may lead to other symptoms like increased blood viscosity.