Childhood Cancer · NCLEX Exam

A 4-year-old child with ALL complains of bone pain in legs and arms, is pale, has bruises and frequent fevers. The nurse recognizes that the bone pain is likely due to:

  1. Normal growing pains that occur in healthy children
  2. Recent over-exercise or excessive physical activity
  3. Leukemic infiltration expanding marrow and pressing on bone
  4. Dietary vitamin D deficiency affecting the bones
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Correct answer: Leukemic infiltration expanding marrow and pressing on bone

In childhood ALL, leukemic blasts accumulate in bone marrow causing expansion, pressure, and bone pain; this is a common presenting symptom.

Difficulty: Medium Question 18 of 18

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