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 C
Explanation
A) This choice is incorrect because chronic leukemia can affect both children and adults, not just children and young adults.
B) This choice is incorrect because chronic leukemia progresses more slowly than acute leukemia and does not typically require immediate treatment.
C) This choice is correct. Chronic leukemia is characterized by the overproduction of mature and functional white blood cells. Unlike acute leukemia, the abnormal cells in chronic leukemia are more developed and functional, but they may not function correctly, leading to an accumulation of these cells in the blood.
D) This choice is incorrect because chronic leukemia usually presents with milder symptoms compared to acute leukemia. Hospitalization is not typically required unless complications arise.
Correct Answer is C
Explanation
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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