What are the three most important prognostic factors in determining long-term survival for children with acute leukemia?
a. Histologic type of disease, initial platelet count, and type of treatment
b. Type of treatment and client's sex
c. Histologic type of disease, initial WBC count, and client's age at diagnosis
d. Progression of illness, WBC at the time of diagnosis, and client's age at the time of diagnosis.
Answer: c
Explanation: The factor whose prognostic value is considered to be of greatest significance in determining the long-range outcome is the histologic type of leukemia. Children with a normal or low WBC count appear to have a much better prognosis than those with a high WBC count. Children diagnosed between ages 2 and 10 have consistently demonstrated a better prognosis because age 2 or after 10.
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