A nurse is reviewing the laboratory results of a client who has acute leukemia and received an aggressive chem Which of the following hematologic laboratory values should the nurse expect?(Select all that apply.) Decreased platelet count Increased hemoglobin count Decreased leukocyte count Increased platelet count Decreased erythrocyte count

Question

A nurse is reviewing the laboratory results of a client who has acute leukemia and received an aggressive chem Which of the following hematologic laboratory values should the nurse expect?(Select all that apply.) Decreased platelet count Increased hemoglobin count Decreased leukocyte count Increased platelet count Decreased erythrocyte count

Answer 1

In a client with acute leukemia who has undergone aggressive chemotherapy, the nurse should expect certain hematologic laboratory values to reflect the effects of both the disease and the treatment. Chemotherapy targets rapidly dividing cells, including cancerous cells, but it also affects normal blood cell production in the bone marrow. Below is an analysis of the options provided:### Correct Answers:1. **Decreased platelet count** - **Reasoning:** Chemotherapy suppresses bone marrow function, leading to reduced production of platelets (thrombocytopenia). This is a common side effect of both leukemia and its treatment.2. **Decreased leukocyte count** - **Reasoning:** Leukemia itself can cause abnormal white blood cell production, and chemotherapy further suppresses bone marrow activity, leading to a decreased leukocyte (white blood cell) count (leukopenia). This increases the risk of infection.3. **Decreased erythrocyte count** - **Reasoning:** Bone marrow suppression from chemotherapy reduces red blood cell (erythrocyte) production, causing anemia. This is a frequent finding in clients undergoing treatment for leukemia.---### Incorrect Answers:4. **Increased hemoglobin count** - **Reasoning:** Hemoglobin levels are typically decreased in clients with leukemia due to anemia caused by bone marrow suppression. An increase in hemoglobin would not be expected.5. **Increased platelet count** - **Reasoning:** Platelet counts are usually decreased due to bone marrow suppression. An increase in platelet count would not occur unless the client received a platelet transfusion or was recovering from chemotherapy.---### Final Answer: - **Decreased platelet count** - **Decreased leukocyte count** - **Decreased erythrocyte count**

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