A nurse is providing education to a client recently diagnosed with chronic lymphocytic leukemia (CLL). The client asks, "How does CLL differ from other types of leukemia?" How should the nurse respond?
"CLL involves the overproduction of abnormal myeloid cells, while other types of leukemia affect lymphocytes."
"Unlike other leukemias, CLL has a rapid onset and aggressive course of disease progression."
"In CLL, abnormal lymphocytes accumulate and interfere with the production of other blood cells in the bone marrow."
"CLL is characterized by a genetic mutation in the bone marrow that leads to uncontrolled growth of red blood cells."
The Correct Answer is C
A) This choice is incorrect because CLL specifically involves the overproduction of abnormal lymphocytes, not myeloid cells. Myeloid cells are affected in other types of leukemia, such as AML.
B) This choice is incorrect because CLL is a chronic and indolent type of leukemia. It has a slow onset and progresses slowly over time, unlike some other leukemias that may have a more rapid course.
C) This choice is correct. In CLL, abnormal lymphocytes, mainly B-lymphocytes, accumulate in the bone marrow and interfere with the production of other blood cells, including red blood cells, platelets, and other white blood cells.
D) This choice is incorrect because CLL does not involve a genetic mutation leading to uncontrolled growth of red blood cells. That description is more characteristic of polycythemia vera, a different type of blood disorder.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A) This choice is correct. A lumbar puncture is performed to assess cerebrospinal fluid (CSF) for the presence of leukemic cells in cases where leukemia may have spread to the central nervous system. This procedure helps determine if the client requires specific treatment to target leukemia in the CNS.
B) This choice is incorrect because a lumbar puncture is not primarily used to evaluate liver and kidney function.
C) This choice is incorrect because measuring blood glucose levels is not the primary purpose of a lumbar puncture.
D) This choice is incorrect because determining the client's platelet count is not the primary purpose of a lumbar puncture. Platelet counts are typically obtained through a blood test.
Correct Answer is C
Explanation
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.
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