Question

question 2 of 3
a 65 - year - old patient reports night sweats and weight loss. the complete blood count report shows that she has lymphocytosis. the total white blood cell count is 23,000 microliters. on diagnosis, the bone marrow of the patient is infiltrated with small lymphocytes. what should the nurse suspect based on the information?
acute lymphocytic leukemia
chronic lymphocytic leukemia
acute myelogenous leukemia
chronic myelogenous leukemia

Explanation:

To determine the suspected condition, we analyze the patient's details: 65 - year - old, night sweats, weight loss, lymphocytosis (total WBC 23,000/μL), and bone marrow infiltrated with small lymphocytes.

• Acute lymphocytic leukemia (ALL) is more common in children, so it's less likely.
• Chronic lymphocytic leukemia (CLL) is common in older adults, presents with lymphocytosis, bone marrow infiltration by small lymphocytes, and symptoms like night sweats and weight loss.
• Acute myelogenous leukemia (AML) involves myeloid cells, not small lymphocytes.
• Chronic myelogenous leukemia (CML) involves myeloid cells and has a different cell profile. So CLL matches the patient's presentation.

Answer:

B. Chronic lymphocytic leukemia