Certified Hospice and Palliative Assistant (CHPNA) Practice Test

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Which chemotherapy side effect can be asymptomatic but is life-threatening?

  1. Anemia

  2. Neutropenia

  3. Nausea

  4. Fatigue

The correct answer is: Neutropenia

Neutropenia is characterized by an abnormally low level of neutrophils, a type of white blood cell essential for fighting off infections. This condition can develop as a result of chemotherapy because these treatments often target rapidly dividing cells, including those in the bone marrow that produce blood cells. While neutropenia itself does not always present clear symptoms, it significantly increases the patient's risk of developing life-threatening infections. This is crucial because many individuals may not be aware that their immune system is compromised, leading to a delay in seeking medical attention when an infection occurs. Early recognition of neutropenia is vital so that appropriate measures can be taken to prevent or manage infections effectively. In contrast, other side effects like anemia, nausea, and fatigue are often accompanied by noticeable symptoms that prompt patients to seek help or adjust their treatment. While anemia can also lead to serious complications, it typically presents with symptoms such as fatigue and weakness. Nausea and fatigue are common experiences for chemotherapy patients but are not life-threatening on their own. Therefore, neutropenia stands out as a critical side effect of chemotherapy that may not present symptoms initially, yet carries significant risks.