A patient with leukemia begins to have seizures. The nurse realizes that the onset of seizure activity is because of
1. pancytopenia.
2. malignant cell expansion.
3. hemodynamic instability.
4. infiltration into the central nervous system.
4
Rationale: Signs and symptoms of infiltration into the central nervous system include headache, nausea, vomiting, seizures, and coma. Signs and symptoms of pancytopenia include frequent infections, fevers, bleeding gums, and fatigue. Signs and symptoms of malignant cell expansion include bone tenderness or pain and impaired circulation. Hemodynamic instability is not considered a category for the signs and symptoms of leukemia.
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