A nurse is monitoring a client undergoing chemotherapy for leukemia. The client's white blood cell (WBC) count is significantly low. Which intervention should the nurse implement to protect the client from infection?

Encourage daily aerobic exercise

Administer intramuscular (IM) vaccinations

Place the client in a private room with negative pressure

Limit the number of healthcare providers entering the client's room

Answer and Explanation

The Correct Answer is C

A) This choice is incorrect because while aerobic exercise is beneficial for overall health, it may not directly protect the client from infection in the context of low WBC count during chemotherapy.

B) This choice is incorrect because during chemotherapy, live vaccines should be avoided as they can pose a risk to immunocompromised clients with low WBC counts.

C) This choice is correct. Placing the client in a private room with negative pressure helps reduce the risk of exposure to infectious agents, especially in immunocompromised clients with low WBC counts who are at higher risk of infection.

D) This choice is incorrect because limiting the number of healthcare providers entering the client's room may be beneficial to reduce the risk of exposure to potential infections, but placing the client in a private room with negative pressure is a more comprehensive measure.

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Correct Answer is D

Explanation

A) This choice is incorrect because there is no strong evidence to support smoking as a major risk factor for leukemia. Smoking is primarily associated with lung cancer and other respiratory conditions.

B) This choice is incorrect because while smoking is associated with other types of cancer, such as lung, throat, and mouth cancers, it is not definitively linked to leukemia.

C) This choice is incorrect because while smoking can increase the risk of certain cancers, its link to leukemia remains uncertain. Research on this topic has not provided conclusive evidence of a significant association between smoking and leukemia development.

D) This choice is correct. The link between smoking and leukemia is still uncertain and not well-established. While smoking is a known risk factor for several types of cancer, its specific role in leukemia development requires further study.

A. "AML is characterized by the overproduction of immature lymphocytes, leading to bone marrow failure." B. "In AML, abnormal proliferation of red blood cells causes decreased oxygen-carrying capacity in the blood." C. "Genetic mutations in the myeloid stem cells lead to uncontrolled growth of abnormal myeloid cells in AML." D. "AML is caused by the abnormal growth of plasma cells, leading to the production of abnormal antibodies."

Correct Answer is C

Explanation

A) This choice is incorrect because AML is not characterized by the overproduction of immature lymphocytes. It involves the uncontrolled proliferation of abnormal myeloid cells in the bone marrow.

B) This choice is incorrect because AML does not cause abnormal proliferation of red blood cells. Anemia may occur as a result of AML due to the displacement of normal blood-forming cells in the bone marrow.

C) This choice is correct. AML is a type of leukemia that arises from genetic mutations in the myeloid stem cells. These mutations lead to uncontrolled growth and accumulation of abnormal myeloid cells, including granulocytes, monocytes, and platelets.

D) This choice is incorrect because the abnormal growth of plasma cells leading to the production of abnormal antibodies is characteristic of multiple myeloma, not AML.

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A nurse is monitoring a client undergoing chemotherapy for leukemia. The client's white blood cell (WBC) count is significantly low. Which intervention should the nurse implement to protect the client from infection?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is discussing the risk factors for leukemia with a client during a health education session. The client asks, "Can smoking increase my risk of leukemia?" How should the nurse respond?

Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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