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."

Answer and Explanation

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.

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Correct Answer is D

Explanation

A) This choice is incorrect because leukemia is not always caused by inherited genetic mutations. While genetic factors can contribute to the development of some types of leukemia, it is not the only cause.

B) This choice is incorrect because there are known genetic links to certain types of leukemia. For example, some forms of leukemia, such as chronic myeloid leukemia (CML), are associated with specific genetic mutations.

C) This choice is incorrect because genetic factors and environmental factors can both play a role in the development of leukemia. Some cases may be influenced more by genetic factors, while others may be influenced more by environmental factors.

D) This choice is correct. Leukemia can have various causes, including genetic mutations, exposure to certain environmental factors (e.g., radiation, certain chemicals), and viral infections. While some cases may have a genetic basis, others may be triggered by environmental factors or have an unknown cause.

A. History of frequent dental cavities B. Allergy to pollen and pet dander C. Recurrent urinary tract infections D. Previous treatment with chemotherapy and radiation

Correct Answer is D

Explanation

A) This choice is incorrect because a history of frequent dental cavities is not a known risk factor for leukemia.

B) This choice is incorrect because allergies to pollen and pet dander are not associated with an increased risk of leukemia.

C) This choice is incorrect because recurrent urinary tract infections are not known to be a risk factor for leukemia.

D) This choice is correct. Previous treatment with chemotherapy and radiation is a significant risk factor for developing leukemia. Certain chemotherapeutic agents and radiation therapy can damage healthy blood-forming cells in the bone marrow, potentially leading to the development of leukemia later on. This type of leukemia is often referred to as secondary or treatment-related leukemia.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing education to a client newly diagnosed with leukemia. The client asks, "Is leukemia a genetic condition?" How should the nurse respond?

Correct Answer is D

Explanation

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?

Correct Answer is D

Explanation

A nurse is conducting a health assessment for a client suspected of having leukemia. The client mentions a recent history of exposure to benzene at the workplace. How should the nurse respond to this information?

A client newly diagnosed with leukemia is experiencing bone pain and tenderness. What is the underlying cause of these symptoms?

A nurse is explaining the purpose of a computed tomography (CT) scan to a client with suspected leukemia. What is the primary goal of a CT scan in the diagnostic evaluation of leukemia?

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 nurse is conducting a health history assessment for a client newly diagnosed with leukemia. Which risk factor should the nurse prioritize when asking about the client's medical history?

A client with leukemia is receiving radiation therapy. The nurse should assess the client regularly for which potential side effect of this treatment?

A nurse is explaining the difference between acute and chronic leukemia to a client. The nurse should include which statement about chronic leukemia?

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