Question

In assessing a client in the early stage of chronic lymphocytic leukemia (CLL),

the nurse should determine if the client has:
1. Enlarged, painless lymph nodes.
2. Headache.
3. Hyperplasia of the gums.
4. Unintentional weight loss.

Answer 1

In the early stage of chronic lymphocytic leukemia (CLL), the nurse should look for enlarged, painless lymph nodes, which are a common indicator of CLL. Unintentional weight loss may also occur but is typically associated with more advanced stages of the disease. the correct option is 1. Enlarged, painless lymph nodes.

Step-by-step explanation:

In assessing a client in the early stage of chronic lymphocytic leukemia (CLL), the nurse should determine if the client has enlarged, painless lymph nodes. This is one of the initial signs that can indicate leukemia, where mature leukocytes accumulate and fail to function properly. Among the options provided, swollen lymph nodes are a hallmark of lymphatic system disruptions such as CLL.

While unintentional weight loss is also a symptom associated with lymphoma and leukemia, it tends to occur as the disease progresses and therefore might not be as prominent in the early stages. Symptoms like headache and hyperplasia of the gums are less commonly associated with CLL and can have many other causes. It's important for clinicians to consider the full clinical picture and patient history when assessing potential CLL as other conditions can also present with these symptoms.