Cancer and Oncology Q 45 - Gyan Darpan : Learning Portal
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Saturday, 26 March 2022

Cancer and Oncology Q 45

The nurse is reviewing the chart of a client who is newly diagnosed with chronic lymphocytic leukemia. Which of the following laboratory values is expected to be seen?
    A. Elevated aspartate aminotransferase and alanine aminotransferase levels
    B. Thrombocytopenia and increased lymphocytes
    C. Elevated sedimentation rate
    D. Uncontrolled proliferation of granulocytes

Correct Answer: B. Thrombocytopenia and increased lymphocytes

Option B: Chronic lymphocytic leukemia shows a proliferation of small abnormal mature B lymphocytes and decreased antibody response. Thrombocytopenia also is often present.

Option A: Chronic lymphocytic leukemia often does not cause abnormal liver function tests.
Option C: An elevated ESR result is often seen with multiple myeloma and Waldenstrom’s macroglobulinemia (a type of non-Hodgkin’s lymphoma that is characterized by excessive production of white blood cells).
Option D: Uncontrolled proliferation of granulocytes occurs in myelogenous leukemia.

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