Health Promotion and Maintenance Q 140



A client with acute leukemia is admitted to the oncology unit. Which of the following would be most important for the nurse to inquire?
  
     A. "Have you noticed a change in sleeping habits recently?"
     B. "Have you had a respiratory infection in the last 6 months?"
     C. "Have you lost weight recently?"
     D. "Have you noticed changes in your alertness?"
    
    

Correct Answer: B. “Have you had a respiratory infection in the last 6 months?”

The client with leukemia is at risk for infection and has often had recurrent respiratory infections during the previous 6 months.

Options A, C, and D: Insomnolence, weight loss, and a decrease in alertness also occur in leukemia, but bleeding tendencies and infections are the primary clinical manifestations.