Which statement by the oncology nurse is most appropriate when teaching an asymptomatic patient in the early stage of chronic lymphocytic leukemia (CLL) about treatment?
A) "CLL requires aggressive treatment in the early stages."
B) "There is no treatment because CLL is not curable."
C) "CLL is treated conservatively in the early stages."
D) "In those who are asymptomatic, chemotherapy is used to induce remission."
C) "CLL is treated conservatively in the early stages."
Explanation: A) CLL generally progresses slowly, often with long periods of stability and occasional spontaneous remissions. Because the disease occurs primarily in older adults, follows an indolent course, and is not curable, a conservative approach to treatment is generally indicated. In patients with early-stage disease and without symptoms, watchful waiting is generally indicated. For patients with symptoms and/or more progressive disease, chemoimmunotherapy may be used.
B) CLL generally progresses slowly, often with long periods of stability and occasional spontaneous remissions. Because the disease occurs primarily in older adults, follows an indolent course, and is not curable, a conservative approach to treatment is generally indicated. In patients with early-stage disease and without symptoms, watchful waiting is generally indicated. For patients with symptoms and/or more progressive disease, chemoimmunotherapy may be used.
C) CLL generally progresses slowly, often with long periods of stability and occasional spontaneous remissions. Because the disease occurs primarily in older adults, follows an indolent course, and is not curable, a conservative approach to treatment is generally indicated. In patients with early-stage disease and without symptoms, watchful waiting is generally indicated. For patients with symptoms and/or more progressive disease, chemoimmunotherapy may be used.
D) CLL generally progresses slowly, often with long periods of stability and occasional spontaneous remissions. Because the disease occurs primarily in older adults, follows an indolent course, and is not curable, a conservative approach to treatment is generally indicated. In patients with early-stage disease and without symptoms, watchful waiting is generally indicated. For patients with symptoms and/or more progressive disease, chemoimmunotherapy may be used.
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