What is the most important teaching topic for clients with leukemia?
RATIONALE: Because overwhelming infection is the most common cause of death in clients with leukemia, preventing infection is the most important teaching topic. Although promoting adjustment to an altered body image and increasing peer interactions are important, they don't address life-threatening concerns and therefore take lower priority.
How is leukemia diagnosed in a 5-year-old preschooler?
A 5-year-old preschooler suspected of having leukemia is admitted to the hospital for diagnosis and treatment. The physician orders a bone marrow aspiration. Place the interventions below in ascending chronological order according to their importance.
How should parents explain complementary therapy to a 4-year-old child with leukemia?
Parents of a 4-year-old child with acute leukemia ask a nurse to explain the concept of complementary therapy. The nurse should tell the parents that: 1. complementary therapy is an alternative to conventional medical therapies.
Should a child with leukemia brush their teeth?
Leukemia is the most common form of childhood cancer. The child schould continue to brush his teeth, but he should use a soft toothbrush to minimize trauma. The child still needs appropriate discipline and limits.
What are the most common behaviors observed in adolescents who have scoliosis and require surgery?
Body image changes are the most common behaviors observed in adolescents who have scoliosis and require surgery. A nurse reports an incident of suspected child abuse. One of the parents of the child becomes upset and demands to know the reason for the nurse's action.
What causes a 2-month-old to refuse to eat?
A. Candidiasis. Manifestations of oral candidiasis include white patches that adhere to the inner cheeks, tongue, and palate that are painful and can cause the child to refuse to eat. A nurse is caring for a 2-month-old infant who is postoperative following surgical repair of a cleft lip.
How many surgeries do you need for eczema?
The child will probably require two surgeries over an 18- to 24-month period before normal bowel function is obtained. The initial surgery creates an ostomy, which relieves the obstructed area and allows the bowel distal to the ostomy to rest. A nurse is providing teaching to a parent of a preschooler who has eczema.
Is facial edema a manifestation of nephrotic syndrome?
Therefore, facial edema is a manifestation of nephrotic syndrome. A nurse is providing teaching to a 17-year-old female client who has severe acne about the use of isotretinoin.
Where does leukemia come from?
Test taking tips: leukemia comes from the work leukocyte.
Which cell is the primary source of acute myelogenous leukemia?
Acute myelogenous leukemia (AML) evolves from the myeloid stem cell, which impacts the neutrophils, erythrocytes, monocytes, and platelets. Lymphoblastic leukemia, both acute and chronic, evolves from the lymphoid stem cell (lymphocytes).
What is CBC in leukemia?
The healthcare provider orders a complete blood count (CBC) with differential. After reviewing the client's symptoms, the nurse would expect to find which result on the client's CBC report?
What does Brian's physical exam and laboratory results indicate?
The healthcare provider explains to Brian that his physical exam and laboratory results indicate a potential diagnosis of leukemia. What diagnostic test or procedure would be performed to make a definitive diagnosis and determine the extent of the disease process?
What is Brian's diagnosis?
Brian is diagnosed with acute myelogenous leukemia (AML) after the bone marrow biopsy. This type of leukemia directly impacts what type of cells?
Why is fear related to altered body image the most appropriate nursing diagnosis for a hospitalized adolescent?
Fear related to altered body image is the most appropriate nursing diagnosis for a hospitalized adolescent because of the adolescent's developmental level and concern for physical appearance. An adolescent may fear disfigurement resulting from procedures and treatments.
What is an attitude that requests only the information the girl is willing to give?
An attitude that requests only the information the girl is willing to give is nonthreatening and nonjudgmental. This may enhance the girl's willingness to talk about her experiences, thus enabling the nurse to better assess her needs. Asking what the girl would like to know assumes the girl knows what information she needs. The precautions her friends are taking are irrelevant at this time. Referencing the girl's parents may make her defensive and fearful.
What happens if an adolescent is immobilized in a cast?
An adolescent who is immobilized in a cast to stabilize a recent fractured femur suddenly develops chest pain, dyspnea, diaphoresis, and tachycardia. The nurse should further assess the client for what condition?
Why do you need to notify your healthcare provider of intracranial pressure?
However, the primary reason to notify the healthcare provider is so the obvious increase in intracranial pressure can be managed using a holistic and emergent approach. The nurse is caring for an adolescent client who sustained a head injury in a motor vehicle crash.
What is tachycardia in nursing?
Tachycardia can be an indicator in a variety of clinical situations when associated with infection; it usually occurs in response to an elevated temperature or change in cardiac function. The nurse assesses a teenage girl's musculoskeletal system (see figure). What finding should the nurse document? lordosis.
Why should a female health care provider be present during an examination?
Leaving the door open and informing the client's friends about her condition violates her right to privacy and confidentiality. Although the suspected attacker should be kept away from the examination room, having a female health care worker present during the examination best protects the girl's rights.
Does atelectasis develop slowly?
Atelectasis may develop ; however, the onset of signs and symptoms is usually more gradual and subtler.
What temperature is a 1 year old roseola?
C. A 1 year old toddler who has roseola and a temperature of 39 C (102.2 F)
Is there venipuncture in the left arm?
B. No venipuncture or blood pressure in left arm
Which organ is responsible for drug excretion in children?
RATIONALE: The kidneys are most responsible for drug excretion in children. Less commonly, some drugs may be excreted via the lungs or liver. Drugs are never excreted by the heart in children or adults.
Why do children yell during procedures?
Letting a child yell during a procedure is a form of helpful distraction. In addition, holding the breath isn't beneficial and could have adverse effects (such as feeling dizzy or faint). The nurse should prepare a child for a procedure by using nonpain descriptors and not suggesting pain.
Why should a nurse hide medication in milk?
Hiding the medication in milk may foster mistrust. The nurse should provide simple, not detailed, explanations and should use terms the child can understand. Shaming the child is inappropriate and may lead to feelings of guilt. A nurse is instructing a school-age child with a fracture on proper use of crutches.
Why should a neonate be kept elevated?
RATIONALE: Because of the risk of aspiration , a neonate with a known or suspected tracheoesophageal fistula should be kept with the head elevated at all times and should receive nothing by mouth (NPO). The nurse should suction the neonate regularly to maintain a patent airway and prevent pooling of secretions. Elevating the neonate's head after feedings or giving glucose water are inappropriate because the neonate must remain on NPO status.
Do nurses have to inform a child of surgery?
Although hospital requirements may require the nurse to inform a child of impending surgery, this response doesn't best reflect the nurse's promotion of the child's rights. Before a routine checkup, an 8-month-old infant sits contentedly on the mother's lap, chewing on a toy.
Can a nurse give information about a child's care?
RATIONALE: According to Health Insurance Portability and Accountability Act standards, a nurse can't provide information regarding a child's care unless the child's parent or guardian authorizes her to do so. It wouldn't be appropriate for the nurse to contact an attorney at this time. Although not legally wrong, it wouldn't be appropriate for the nurse to make a statement about her feelings about the situation.
Is it appropriate to evaluate pain in an 18-month-old?
RATIONALE: Behavioral changes are common signs of pain and are especially valuable indicators in an 18-month-old child, who has limited verbal skills. Evaluating pupillary response isn't an appropriate technique for assessing pain. Requesting a parental report of a child's pain isn't a reliable assessment technique.