A nurse is teaching a client about the side effects of chemotherapy used in leukemia treatment. Which side effect is commonly associated with chemotherapy?

Increased blood clotting and thrombosis

Elevated blood pressure and hypertension

Nausea, vomiting, and hair loss

Excessive bleeding and hemorrhage

Answer and Explanation

The Correct Answer is C

A) This choice is incorrect because chemotherapy may cause a decreased platelet count, leading to a risk of bleeding, rather than increased blood clotting and thrombosis.

B) This choice is incorrect because chemotherapy does not typically cause elevated blood pressure and hypertension.

C) This choice is correct. Nausea, vomiting, and hair loss are common side effects of chemotherapy due to its effect on rapidly dividing cells, including hair follicles and cells lining the digestive tract.

D) This choice is incorrect because excessive bleeding and hemorrhage are not common side effects of chemotherapy in leukemia treatment.

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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. "In ALL, the bone marrow produces an excess of abnormal red blood cells, leading to anemia." B. "ALL results in the overproduction of normal white blood cells, leading to an increased immune response." C. "The abnormal lymphocytes in ALL crowd out the normal bone marrow cells, leading to decreased production of other blood cells." D. "In ALL, the bone marrow becomes fibrous and unable to produce any blood cells."

Correct Answer is C

Explanation

A) This choice is incorrect because ALL does not result in the overproduction of red blood cells. It primarily affects lymphocytes, not red blood cells.

B) This choice is incorrect because ALL involves the overproduction of abnormal lymphocytes, not normal white blood cells. These abnormal lymphocytes crowd out normal cells.

C) This choice is correct. In ALL, the uncontrolled proliferation of abnormal lymphocytes leads to the overcrowding of the bone marrow. As a result, normal bone marrow cells, including red blood cells, platelets, and other white blood cells, are suppressed, leading to various cytopenias.

D) This choice is incorrect because ALL does not cause the bone marrow to become fibrous and unable to produce any blood cells. That description is more characteristic of myelofibrosis, a different bone marrow disorder.

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A nurse is teaching a client about the side effects of chemotherapy used in leukemia treatment. Which side effect is commonly associated with chemotherapy?

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 client newly diagnosed with acute lymphocytic leukemia (ALL) asks the nurse, "What happens to the normal bone marrow cells in ALL?" How should the nurse respond?

Correct Answer is C

Explanation

A nurse is caring for a client with chronic myeloid leukemia (CML). The client asks about the main treatment approach for CML. How should the nurse respond?

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A client with leukemia is at risk of bleeding due to low platelet count. Which activity should the nurse instruct the client to avoid to prevent bleeding episodes?

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