A nurse is preparing a client for a bone marrow biopsy. What is the primary reason for performing a bone marrow biopsy in the diagnostic evaluation of leukemia?

Assessing the client's platelet count

Evaluating the effectiveness of chemotherapy

Determining the presence of cancerous cells in the bone marrow

Measuring the client's bone density

Answer and Explanation

The Correct Answer is C

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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Correct Answer is B

Explanation

A) This choice is incorrect because a stem cell transplant is primarily used to replace the damaged bone marrow and restore normal blood cell production, but it is not a specific treatment for anemia.

B) This choice is correct. A blood transfusion involves infusing healthy red blood cells into the client's bloodstream to address anemia and improve oxygen-carrying capacity.

C) This choice is incorrect because radiation therapy is primarily used to target and destroy cancer cells, not to address anemia.

D) This choice is incorrect because immune checkpoint inhibitors are a type of immunotherapy used to enhance the body's immune response against cancer cells, but they are not a specific treatment for anemia.

A. "The bone marrow produces an excessive number of platelets, leading to abnormal white blood cell formation." B. "Leukemia occurs when the body's immune system attacks healthy white blood cells, causing an overproduction." C. "Genetic mutations in the bone marrow cells lead to uncontrolled growth and proliferation of abnormal white blood cells." D. "An imbalance of red blood cells in the bone marrow triggers an excessive production of white blood cells."

Correct Answer is C

Explanation

A) This choice is incorrect because leukemia does not result from an overproduction of platelets. Leukemia involves an overproduction of abnormal white blood cells.

B) This choice is incorrect because leukemia is not caused by the body's immune system attacking healthy white blood cells. Instead, it involves the uncontrolled growth of abnormal white blood cells.

C) This choice is correct. Leukemia is characterized by genetic mutations in the bone marrow cells, particularly in the stem cells that produce white blood cells. These mutations lead to uncontrolled growth and proliferation of abnormal white blood cells, interfering with the normal production of other blood cells.

D) This choice is incorrect because an imbalance of red blood cells would not trigger the overproduction of white blood cells. Leukemia is specifically a disorder of white blood cell proliferation.

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A nurse is preparing a client for a bone marrow biopsy. What is the primary reason for performing a bone marrow biopsy in the diagnostic evaluation of leukemia?

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Naxlex Comprehensive Predictor Exams

A client with leukemia is experiencing anemia due to decreased red blood cell production. What treatment approach may the healthcare provider recommend to address anemia?

Correct Answer is B

Explanation

A client diagnosed with leukemia asks the nurse, "What causes the overproduction of abnormal white blood cells?" How should the nurse respond?

Correct Answer is C

Explanation

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