Which symptoms would the nurse expect in a patient with chronic lymphocytic leukemia (CLL) who is being admitted to the oncology unit with B symptoms?
A) Agranulocytosis and hypogammaglobinemia
B) Anemia, thrombocytopenia, and autoimmune hemolytic anemia
C) Night sweats and fever but no infection
D) Lymphadenopathy, splenomegaly, and hepatomegaly
C) Night sweats and fever but no infection
Explanation: A) Clinical findings in the patient with CLL may include anemia, thrombocytopenia, autoimmune hemolytic anemia, agranulocytosis, and hypogammaglobinemia, but these are not B symptoms.
B) Clinical findings in the patient with CLL may include anemia, thrombocytopenia, autoimmune hemolytic anemia, agranulocytosis, and hypogammaglobinemia, but these are not B symptoms.
C) Constitutional symptoms (B symptoms) may be present and include fever greater than 100.5°F for 2 weeks without evidence of infection, night sweats without evidence of infection, unintentional weight loss that can be 10% of body weight in the preceding 6 months, and fatigue that interferes with the patient's ability to perform activities of daily living.
D) On physical examination, patients with CLL present with lymphadenopathy, splenomegaly, and/or hepatomegaly, but these are not B symptoms.
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