The oncology nurse is preparing a teaching plan for a patient with Binet Stage B chronic lymphocytic leukemia (CLL). Which patient statement indicates that the patient understands her current stage?
A) "I have two areas of lymph node involvement, and my red cell and platelet counts are good."
B) "I have three areas of lymph node involvement, and my red cell and platelet counts are good."
C) "I have three areas of lymph node involvement, and my red cell and platelet counts are low."
D) "I have two areas of lymph node involvement, and my red cell and platelet counts are low."
B) "I have three areas of lymph node involvement, and my red cell and platelet counts are good."
Explanation: A) The Binet system classifies CLL according to the number of affected lymphoid tissues in an effort to better address prognostic indicators. The areas of lymphoid tissue to be assessed include the axillary, cervical, and inguinal lymph nodes (unilateral or bilateral); the spleen; and the liver. In Stage A, the assessment indicates fewer than three areas of involvement with no anemia or thrombocytopenia. In Stage B, the assessment indicates three or more areas of enlarged lymphoid tissue with no anemia or thrombocytopenia. In Stage C, the assessment indicates anemia (hemoglobin less than 10 g/dL) and/or thrombocytopenia (platelets less than 100,000/mm3).
B) The Binet system classifies CLL according to the number of affected lymphoid tissues in an effort to better address prognostic indicators. The areas of lymphoid tissue to be assessed include the axillary, cervical, and inguinal lymph nodes (unilateral or bilateral); the spleen; and the liver. In Stage A, the assessment indicates fewer than three areas of involvement with no anemia or thrombocytopenia. In Stage B, the assessment indicates three or more areas of enlarged lymphoid tissue with no anemia or thrombocytopenia. In Stage C, the assessment indicates anemia (hemoglobin less than 10 g/dL) and/or thrombocytopenia (platelets less than 100,000/mm3).
C) The Binet system classifies CLL according to the number of affected lymphoid tissues in an effort to better address prognostic indicators. The areas of lymphoid tissue to be assessed include the axillary, cervical, and inguinal lymph nodes (unilateral or bilateral); the spleen; and the liver. In Stage A, the assessment indicates fewer than three areas of involvement with no anemia or thrombocytopenia. In Stage B, the assessment indicates three or more areas of enlarged lymphoid tissue with no anemia or thrombocytopenia. In Stage C, the assessment indicates anemia (hemoglobin less than 10 g/dL) and/or thrombocytopenia (platelets less than 100,000/mm3).
D) The Binet system classifies CLL according to the number of affected lymphoid tissues in an effort to better address prognostic indicators. The areas of lymphoid tissue to be assessed include the axillary, cervical, and inguinal lymph nodes (unilateral or bilateral); the spleen; and the liver. In Stage A, the assessment indicates fewer than three areas of involvement with no anemia or thrombocytopenia. In Stage B, the assessment indicates three or more areas of enlarged lymphoid tissue with no anemia or thrombocytopenia. In Stage C, the assessment indicates anemia (hemoglobin less than 10 g/dL) and/or thrombocytopenia (platelets less than 100,000/mm3).
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