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) This choice is incorrect because acute leukemia is characterized by a rapid onset and fast progression of symptoms. It requires immediate treatment due to its aggressive nature.

B) This choice is correct. Acute leukemia is characterized by the uncontrolled and rapid proliferation of abnormal white blood cells in the bone marrow, which leads to a high accumulation of these immature cells in the bloodstream.

C) This choice is incorrect because, in general, acute leukemia has a lower survival rate compared to chronic leukemia. Acute leukemia requires immediate and aggressive treatment, and the prognosis depends on various factors, including the subtype and individual response to therapy.

D) This choice is incorrect because acute leukemia is not indolent or slow-growing. It progresses rapidly and can have a significant impact on blood cell counts and overall health.

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.