A nurse is administering induction chemotherapy to a client who has acute myeloid leukemia (AML). The client asks the nurse what induction chemotherapy means. The nurse should respond by saying:

Choice A reason:

This is incorrect because shrinking the tumor before surgery and making it easier to remove is the purpose of neoadjuvant chemotherapy, not adjuvant chemotherapy. Neoadjuvant chemotherapy is given before the primary treatment, while adjuvant chemotherapy is given after the primary treatment.

Choice B reason:

This is correct because eliminating any remaining cancer cells and preventing recurrence is the main goal of adjuvant chemotherapy. Adjuvant chemotherapy is given after the primary treatment, usually surgery, to lower the chance that the cancer will return and to improve the outcome of firstline treatment.

Choice C reason:

This is incorrect because inducing remission and reducing the tumor burden is the purpose of induction chemotherapy, not adjuvant chemotherapy. Induction chemotherapy is given as the firstline treatment to achieve a complete or partial response.

Choice D reason:

This is incorrect because relieving symptoms and improving quality of life is the purpose of palliative chemotherapy, not adjuvant chemotherapy. Palliative chemotherapy is given to patients with incurable or terminal cancer to reduce pain and suffering.

Choice A reason:

Salvage chemotherapy is not given to prevent relapse or progression of the disease, but rather to treat it when it has already relapsed or progressed. Preventive chemotherapy is usually given after the initial treatment has achieved a complete response, to reduce the risk of recurrence.

Choice B reason:

This is the correct answer. Salvage chemotherapy is given to control advanced or refractory disease, meaning that the disease has not responded to or has become resistant to previous treatments. Salvage chemotherapy aims to stabilize the disease, prevent further complications, and improve symptoms and quality of life. ³⁴

Choice C reason:

Salvage chemotherapy is not given to induce remission or reduce tumor burden, but rather to control it when it has already become unresponsive or resistant to previous treatments. Induction chemotherapy is usually given as the firstline treatment for aggressive cancers, to shrink the tumor before surgery or radiation therapy.

Choice D reason:

Salvage chemotherapy is not only given to relieve symptoms and improve quality of life, but also to control the disease and prevent further complications. Symptom relief and quality of life improvement are important goals of salvage chemotherapy, but they are not the only ones. ³⁴: