A 51-year-old client reports to the nurse an inability to tolerate usual exercise and the feeling of fatigue. The client states that these symptoms have been gradual over time
On physical exam, the nurse discovers that the client has splenomegaly, pallor, edema, and lymphadenopathy. The nurse suspects that the client may have which of the following? 1. Acute lymphoblastic leukemia (ALL)
2. Aplastic anemia
3. Acute myeloid leukemia (AML)
4. Chronic lymphocytic leukemia (CML)
4. Chronic lymphocytic leukemia (CML)
Rationale:
The symptoms for CML are insidious and occur over time affecting older adults. ALL affects primarily children. AML also occurs in older clients but they will also manifest bone and joint pain with abnormal bleeding. Aplastic anemia is usually caused by a toxic agent.
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