A nurse is providing care for a client undergoing treatment for leukemia. The client develops neutropenia. What is the nurse's priority intervention?

Administering pain medication for bone pain

Monitoring for signs of bleeding or bruising

Implementing strict isolation precautions

Avoiding invasive procedures and injections

Answer and Explanation

The Correct Answer is C

A) This choice is incorrect because administering pain medication for bone pain is important for the client's comfort, but it is not the priority in this situation. Neutropenia is characterized by a low neutrophil count, which can lead to an increased risk of infection.

B) This choice is incorrect because while monitoring for signs of bleeding or bruising is essential for a client with thrombocytopenia (low platelet count), it is not the priority in this scenario. Neutropenia increases the risk of infection, which is the primary concern.

C) This choice is correct. Implementing strict isolation precautions is the priority for a client with neutropenia. Neutropenia results in a decreased ability to fight off infections, so measures to prevent exposure to potential pathogens are crucial in reducing the risk of infection.

D) This choice is incorrect because avoiding invasive procedures and injections is a precaution for clients with thrombocytopenia, not specifically neutropenia. While both conditions involve low blood cell counts, the risk of infection is the primary concern in neutropenia.

Questions

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

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.

A. "Chemotherapy for acute lymphocytic leukemia usually lasts for a few weeks." B. "Treatment for ALL can extend over several years, including multiple phases." C. "Most clients with ALL receive chemotherapy for a few days and then switch to radiation therapy." D. "ALL is typically managed with a single round of high-dose chemotherapy."

Correct Answer is B

Explanation

A) This choice is incorrect because chemotherapy for acute lymphocytic leukemia (ALL) usually lasts much longer than a few weeks. ALL treatment consists of several phases, and the overall duration can extend over several years.

B) This choice is correct. Treatment for acute lymphocytic leukemia (ALL) typically involves multiple phases, including induction, consolidation, and maintenance therapy. The induction phase aims to achieve remission, the consolidation phase aims to eliminate any remaining cancer cells, and the maintenance phase aims to prevent relapse and keep the leukemia in remission. Overall, the treatment can extend over several years, depending on the client's response to therapy and risk factors.

C) This choice is incorrect because it does not accurately reflect the standard treatment approach for ALL. Clients with ALL do not typically switch from chemotherapy to radiation therapy after a few days.

D) This choice is incorrect because ALL treatment typically involves multiple rounds of chemotherapy, not just a single round. The goal is to achieve long-term remission and prevent relapse, which requires a more comprehensive treatment approach over an extended period.

Questions

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is providing care for a client undergoing treatment for leukemia. The client develops neutropenia. What is the nurse's priority intervention?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client diagnosed with acute myeloid leukemia (AML). Which statement best describes the pathophysiology of AML?

Correct Answer is C

Explanation

A nurse is caring for a client with acute lymphocytic leukemia (ALL) who is undergoing chemotherapy. The client asks about the expected duration of treatment. What is the nurse's best response?

Correct Answer is B

Explanation

A client with leukemia is prescribed targeted therapy. What is the primary difference between targeted therapy and traditional chemotherapy?

A nurse is providing education to a client diagnosed with leukemia about common signs and symptoms. The nurse should include which symptoms as potential manifestations of leukemia? Select all that apply.

A client with leukemia is experiencing severe mucositis as a side effect of chemotherapy. Which nursing intervention should be prioritized to manage mucositis?

A nurse is reviewing the diagnostic tests of a client suspected of having leukemia. The laboratory report shows elevated levels of blast cells in the peripheral blood. Which test result supports the suspicion of leukemia?

A nurse is caring for a client with leukemia who reports easy bruising and petechiae on the skin. What is the underlying cause of these symptoms?

A client with suspected leukemia is undergoing flow cytometry analysis. What is the primary purpose of this test in the diagnostic evaluation of leukemia?

A nurse is providing a community education session about leukemia risk factors. Which statement by a participant indicates a need for further clarification?

A nurse is conducting a health assessment for a client suspected of having leukemia. Which factor in the client's medical history should the nurse recognize as a potential risk factor for leukemia?