The nurse reviewing a hematology report of a client with chronic leukemia brings to the attention of the physician a change that may indicate a blast crisis may be occurring, which is
a. a drastic decrease in monocytes.
b. a hemoglobin drop to 9 g/dl.
c. myeloid cell precursors >20%.
d. thrombocytic proliferation.
C
When the myeloid cell precursors rise in excess of 20% in the circulating volume and 30% in the marrow, it is a strong suggestion that blast crisis may be occurring. This condition usually brings on death within 6 months of the onset.
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