Share this article on:

The mystery of leukemia in older adults

doi: 10.1097/01.NME.0000410251.87984.28
CE Connection

For more than 56 additional continuing education articles related to cancer topics, go to

Earn CE credit online: Go to and receive a certificate within minutes.

Back to Top | Article Outline

INSTRUCTIONS The mystery of leukemia in older adults


* To take the test online, go to our secure Web site at

* On the print form, record your answers in the test answer section of the CE enrollment form on page 54. Each question has only one correct answer. You may make copies of these forms.

* Complete the registration information and course evaluation. Mail the completed form and registration fee of $21.95 to: Lippincott Williams & Wilkins, CE Group, 2710 Yorktowne Blvd., Brick, NJ 08723. We will mail your certificate in 4 to 6 weeks. For faster service, include a fax number and we will fax your certificate within 2 business days of receiving your enrollment form.

* You will receive your CE certificate of earned contact hours and an answer key to review your results.There is no minimum passing grade.

* Registration deadline is February 28, 2014.

Back to Top | Article Outline


* Send two or more tests in any nursing journal published by Lippincott Williams & Wilkins together by mail and deduct $0.95 from the price of each test.

* We also offer CE accounts for hospitals and other health care facilities on nursingcenter. com. Call 1–800–787–8985 for details.

Back to Top | Article Outline


Lippincott Williams & Wilkins, publisher of Nursing made Incredibly Easy!, will award 2.0 contact hours for this continuing nursing education activity.

Lippincott Williams & Wilkins is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.

This activity is also provider approved by the California Board of Registered Nursing, Provider Number CEP 11749 for 2.0 contact hours. Lippincott Williams & Wilkins is also an approved provider of continuing nursing education by the District of Columbia and Florida #FBN2454.

Your certificate is valid in all states.

The ANCC's accreditation status of Lippincott Williams & Wilkins Department of Continuing Education refers only to its continuing nursing educational activities and does not imply Commission on Accreditation approval or endorsement of any commercial product.

The mystery of leukemia in older adults

GENERAL PURPOSE: To prepare the professional nurse to recognize the symptoms of and treatment options for leukemia in older adults and to participate effectively in the care and education of the older adult leukemia patient. LEARNING OBJECTIVES: After reading this article and taking this test, you should be able to: 1. Identify pathophysiology and risk factors for leukemia in the older adult. 2. Discuss symptoms and appropriate interventions for the older adult leukemia patient.

1. Which body structure is the source of leukemia cells?

a. liver

b. spleen

c. bone marrow

2. With leukemia, normal bone marrow is replaced by

a. abnormal, immature cells.

b. normal, but immature cells.

c. abnormal, mature cells.

3. Leukemia cells circulate and invade organs responsible for

a. hormone development.

b. blood formation.

c. enzyme production.

4. Which type of leukemia has the highest incidence in older adults?

a. chronic lymphocytic leukemia (CLL)

b. chronic myeloid leukemia (CML)

c. acute lymphocytic leukemia (ALL)

5. The population at highest risk for leukemia is older

a. White women.

b. Black men.

c. White men.

6. What dietary choices can help prevent changes to DNA?

a. fruits and vegetables

b. chicken and fish

c. milk and eggs

7. What dietary deficiency is a risk factor for leukemia?

a. Vitamin C and zinc

b. Folic acid and some B vitamins

c. Vitamin D and magnesium

8. A family history of leukemia is considered a risk factor for

a. CML.

b. CLL.

c. AML.

9. With chronic leukemia, symptoms develop

a. rapidly and worsen slowly over time.

b. slowly and remain consistent for years.

c. slowly and worsen as the disease progresses.

10. Which of the following isn't a common symptom of acute leukemia?

a. fever and night sweats

b. frequent infections

c. arrhythmias

11. The accumulation of leukemic cells in or near the brain can cause

a. seizures.

b. memory loss.

c. hearing loss.

12. Further treatment options for older patients who achieved remission

a. haven't yet been developed.

b. may be too toxic to tolerate.

c. can maintain the remission indefinitely.

13. The primary focus of nursing care for the older patient with leukemia is

a. achieving remission.

b. preventing progression of the disease.

c. managing symptoms.

14. Which of the following is a key characteristic of functional ability?

a. walking speed outside the home

b. climbing stairs

c. eating a full meal

15. Which of the following measures helps prevent tumor lysis syndrome?

a. cytarabine before the beginning of induction therapy

b. I.V. hydration with diuresis

c. lowering urine pH

16. Myeloid suppression increases the patient's risk of

a. stroke.

b. infection.

c. seizures.

17. The best diet for a leukemia patient is high in vitamins, minerals, and

a. protein.

b. fats.

c. carbohydrates.

18. Which vitamin is effective against certain leukemia cells, particularly AML cells?

a. Vitamin E

b. Vitamin C

c. Vitamin D

© 2012 Lippincott Williams & Wilkins, Inc.