Chapter 30 Leukemia More Questions FIXED

A nurse prepares a client for a bone marrow biopsy who is suspected of having acute myeloid leukemia. What results from the bone marrow biopsy does the nurse expect? A) Excess of immature leukocytes B) Excess of immature erythrocytes C) Deficiency of neutrophils D) Deficiency of erythrocytes

A

The clinic nurse is caring for a client diagnosed with leukopenia. What does the nurse know this client has? A) A general reduction in all white blood cells B) A decrease in granulocytes C) A general reduction in neutrophils and basophils D) Too many erythrocytes

A

The nurse is caring for a client with acute myeloid leukemia (AML) with high uric acid levels. What medication does the nurse anticipate administering that will prevent crystallization of uric acid and stone formation? A) Allopurinol B) Asparaginase C) Filgrastim D) Hydroxyurea

A

Which precautions should a nurse include in the care plan for a client with leukemia and neutropenia? A) Eliminate fresh fruits and vegetables, avoid using enemas, and practice frequent hand washing. B) Put on a mask, gown, and gloves when entering the client's room. C) Have the client use a soft toothbrush and electric razor, avoid using enemas, and watch for signs of bleeding. D) Provide a clear liquid, low-sodium diet.

A

Which statement indicates the client understands teaching about induction therapy for leukemia? A) "I will be in the hospital for several weeks." B) "I know I can never be cured." C) "I will start slowly with medication treatment." D) "I will need to come every week for treatment."

A

A client with acute myeloid leukemia (AML) is scheduled to begin induction therapy. Which treatments will the nurse expect to be prescribed to prevent life-threatening effects of this therapy? Select all that apply. A) Granulocytic growth factors B) Packed red blood cells C) Hematopoietic stem cell transplant D) Platelets E) Antibiotics

A, B, D, and E

A client with leukemia is experiencing recurrent fevers. Which actions will the nurse take to improve this client's comfort? Select all that apply. A) Provide acetaminophen as prescribed. B) Apply ice packs to the groin. C) Change bed clothes frequently. D) Provide a warm beverage before bedtime. E) Sponge with cool water.

A, C, and E

The nurse is teaching a client with acute lymphocytic leukemia (ALL) about therapy. What statement should be included in the plan of care? A) "Side effects are rare with therapy." B) "Intrathecal chemotherapy is used primarily as preventive therapy." C) "Treatment is simple and consists of single-drug therapy." D) "The goal of therapy is palliation."

B

The nurse recognizes the clinical assessment of a patient with acute myeloid leukemia (AML) includes observing for signs of infection early. What nursing action will most likely help prevent infection? A) Monitor the client's temperature every shift. B) Practice vigilant handwashing. C) Maintain contact precautions. D) Encourage increased fluid consumption.

B

A client is being tested for acute myeloid leukemia (AML). The nurse knows that which diagnostic test will be used as the hallmark for the diagnosis? A) Alkaline phosphatase level B) Complete blood count C) Bone marrow analysis D) Clotting factors

C

The nurse cares for a client with acute myeloid leukemia with severe bone pain. What pathophysiological concept does the nurse understand is the reason for the client's pain? A) Abnormal blood cells crystalize. B) Lymph nodes expand. C) Bone marrow expands. D) Abnormal blood cells deposit in small vessels.

C

The nurse is assessing a client with leukemia. How would the nurse assess for enlargement and tenderness over the liver and spleen? A) By looking for evidence of bruising B) By calculating the absolute neutrophil count C) By palpating the abdomen D) By reviewing laboratory test results

C

The nurse is performing an assessment on a patient with acute myeloid leukemia (AML) and observes multiple areas of ecchymosis and petechiae. What laboratory study should the nurse be concerned about? A) Creatinine level of 1.0 mg/dL B) WBC count of 4,200 cells/uL C) Platelet count of 9,000/mm3 D) Hematocrit of 38%

C

A client with acute myeloid leukemia has a fever. What pathophysiological process does the nurse recognize is the cause of the client's fever? A) Pancytopenia B) Anemia C) Thrombocytopenia D) Neutropenia

D

The nurse is teaching a client about the development of leukemia. What statement should be included in the teaching plan? A) "In acute leukemia there are not many undifferentiated cells." B) "In chronic leukemia, the minority of leukocytes are mature." C) "Acute leukemia develops slowly." D) "Chronic leukemia develops slowly."

D

The nurse is teaching the client about consolidation. What statement should be included in the teaching plan? A) "Consolidation occurs as a side effect of chemotherapy." B) "Consolidation is the term used when a client does not tolerate chemotherapy." C) "Consolidation of the lungs is an expected effect of induction therapy." D) "Consolidation therapy is administered to reduce the chance of leukemia recurrence."

D

Which term refers to an abnormal decrease in white blood cells, red blood cells, and platelets? A) Leukopenia B) Thrombocytopenia C) Anemia D) Pancytopenia

D