CH 12

Which of the following white blood cell (WBC) levels would indicate that a patient has leukocytosis? 1200 cells per microliter 1800 cells per microliter 5000 cells per microliter 12,000 cells per microliter

12,000 cells per microliter \ Rationale: Leukocytosis is elevated WBC count about 11,000 cells/mcL

A nurse learns that a young child, under age 8, has been diagnosed with leukemia. Which type of leukemia is a child most likely to have been diagnosed with? Acute myelogenous leukemia Chronic lymphocytic leukemia Acute lymphocytic leukemia Chronic myelogenous leukemia

Acute lymphocytic leukemia Rationale: Acute lymphocytic leukemia is more common in children. Chronic lymphocytic leukemia is more common in elderly individuals. Acute myelogenous leukemia is not common in children. The medium age of diagnosis for Chronic myelogenous leukemia is 50 years.

A nursing student is learning about leukemias. Which information would be correct to share about acute myelogenous leukemia (AML)? Select all that apply. Acute myelogenous leukemia is a form of lymphoma. Acute myelogenous leukemia is more common in children. Acute myelogenous leukemia cause proliferation of undifferentiated myeloid blast cells. Acute myelogenous leukemia is the most common form of leukemia in the United States. Acute myelogenous leukemia development is associated with radiation exposure.

Acute myelogenous leukemia cause proliferation of undifferentiated myeloid blast cells. Acute myelogenous leukemia development is associated with radiation exposure. Rationale: High levels of undifferentiated myeloid cells are a hallmark of AML. Radiation exposure has been associated with increased risk of developing AML. Leukemia is not a form of lymphoma. Acute lymphocytic leukemia is higher in children. Chronic lymphocytic leukemia is the most common form of cancer in the United States.

A patient presents with a white blood cell (WBC) count of 20,000 cells per microliter. Which of the following interpretations would be correct for the nurse to make? T he WBC count is so high that the patient will never have to worry about an infection. The patient's results are diagnostic for allergies or autoimmune disorders. The patient likely has anemia, and the elevated WBC level is attempting to compensate. Although elevated, the WBCs may be poorly functioning, increasing a patient's risk for infection.

Although elevated, the WBCs may be poorly functioning, increasing a patient's risk for infection. Rationale: A high WBC does not indicated that elevated WBCs are functioning. Elevated WBCs may be poorly functioning.

A patient diagnosed with leukemia is prescribed a tyrosine kinase inhibitor. What is the purpose of this medication? Decrease pain Prevent cachexia Decrease unregulated cell growth Decrease cell destruction due to chemotherapy

Decrease unregulated cell growth Rationale: Tyrosine kinase activity increases cell proliferation.

A nursing student is asking about which general signs and symptoms may be present in cases of leukemia. Which of the following are appropriate responses by the nurse educator? Select all that apply. No overt signs or symptoms are present. Bone pain General leukopenia on completed blood count (CBC) Splenomegaly Anemia

Bone pain Splenomegaly Anemia Rationale: Over-proliferation of cells can cause pain in the bone marrow. Overproduced cells can be sequestered in the spleen cause Splenomegaly. Overproduction of WBCs can result in lower than normal RBCs.

An elderly patient's laboratory results reveal lymphocytosis with white blood cell (WBC) count greater than 20,000 cells per microliter. Which leukemia type is most likely? Acute myelogenous leukemia Chronic myelogenous leukemia Acute lymphocytic leukemia (ALL) Chronic lymphocytic leukemia

Chronic lymphocytic leukemia Rationale: Chronic lymphocytic leukemia often presents with very high lymphocyte levels in an elderly individual.

A nurse is told that her patient has severe leukopenia. Which of the following can the nurse expect? Increased infection risk Significant elevation in all white blood cell (WBC) values Neutrophilia Normal complete blood count (CBC) values

Increased infection risk Rational: Decreased WBC numbers can increase infection risk. A CBC will not be normal with a low WBC value.

A patient presents with the following complaint: "This one gland in my groin area is so swollen. It bothers me a little bit, but I am not sure if I should be worried." What is an appropriate response by the nurse? You likely have a severe infection in the groin area. Do not worry. A single lymph node swelling is common and shouldn't concern you. Surgery is an option for removal of the lymph node. Let us discuss further signs and symptoms and what the possibilities are for examining the lymph node.

Let us discuss further signs and symptoms and what the possibilities are for examining the lymph node. Rationale: This response addresses the patients concern and speaks of further eval need

A patient wants to know if there is a difference between a lymphoma and leukemia. Which statement should the nurse share? Lymphomas develop due to a disorder of red blood cells, while leukemias are disorders of white blood cells (WBCs). Lymphomas are neoplasms, and leukemias are not. Lymphomas develop in the lymph nodes while leukemias are present in the blood. Lymphomas develop in adults, while leukemias develop in children.

Lymphomas develop in the lymph nodes while leukemias are present in the blood. Rationale: Lymphomas develop in lymph nodes while Leukemia is due to disorder of WBCs in blood. Both leukemia and lymphoma can develop in children or adults and both are neoplasms.

A nursing student is looking at a blood sample slide. He is told to look for granulocytes. Which of the following cells should he be looking for? Select all that apply. Neutrophils Basophils Monocytes Lymphocytes Eosinophils

Neutrophils Basophils Eosinophils Rationale: They are granulocytes (contain granules w/in). Monocytes and lymphocytes are granulocytes.

A lymph node biopsy of a lymphoma reveals no Reed-Sternberg cells. Which of the following is most likely? Hodgkin's lymphoma Non-Hodgkin's lymphoma Multiple myeloma Myelogenous leukemia

Non-Hodgkin's lymphoma Rationale: the lack of Reed-Sternberg cells increases the likelihood that this is Non-Hodgkin's lymphoma.

A patient wants to know the difference between Hodgkin's lymphoma and non-Hodgkin's lymphoma. Which of the following would be correct in formation to share with the patient? Select all that apply. These types of lymphomas develop in different lymph nodes. Hodgkin's lymphomas occur only in children. Non-Hodgkin's lymphoma is the more common type of lymphoma. Non-Hodgkin's lymphoma has only one type, while there are 20 types of Hodgkin's lymphomas. Non-Hodgkin's lymphoma develops from several cell types, while Hodgkin's lymphoma develops from one cell type.

Non-Hodgkin's lymphoma develops from several cell types, while Hodgkin's lymphoma develops from one cell type. children. Non-Hodgkin's lymphoma is the more common type of lymphoma. Rational: NHL account for 80% of lymphomas. HL develops from B cells, while NHL develops from T cells, B cells, and NK cells.

A laboratory technician is looking at a lymph node biopsy sample. The appearance of which cell type would help to diagnose Hodgkin's lymphoma? Apoptotic cells Sickle cells Reed-Sternberg cells B cells

Reed-Sternberg cells Rational: Reed-Sternberg cells may appear in HL.

A patient's neutrophil number is 900 cells per microliter. Which of the following would be correct associations for the nurse to make? Select all that apply. The patient has an increased risk of infection. The patient is suffering from anemia. The patient has neutrophilia. The patient may benefit from Neupogen.

The patient has an increased risk of infection. Neupogen. Rationale: The neutrophil number is very low. This increases the patient's risk for infection. The patient has neutropenia, not neutrophilia. No info of RBCs is given. Neupogen helps stimulate neutrophil formation.