NCLEX Pediatrics Oncology 2024 Review Questions and Correct Answers
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Course
NCLEX
Institution
NCLEX
The nurse analyzes the laboratory values of a child with leukemia who is
receiving chemotherapy. The nurse notes that the platelet count is 19,500 mm3
(19.5 × 109/L). On the basis of this laboratory result, which intervention should
the nurse include in the plan of care?
1.Initiate bleeding...
NCLEX Pediatrics Oncology 2024 Review Questions and Correct Answers The nurse analyzes the laboratory values of a child with leukemia who is receiving chemotherapy. The nurse notes that the platelet count is 19,500 mm3 (19.5 × 109/L). On the basis of this laboratory result, which intervention should the nurse include in the plan of care? 1.Initiate bleeding precautions. 2.Monitor closely for signs of infection. 3.Monitor the temperature every 4 hours. 4.Initiate protective isolation precautions. Ans--Correct Answer: 1 Rationale: Leukemia is a malignant increas e in the number of leukocytes, usually at an immature stage, in the bone marrow. It affects the bone marrow, causing anemia from decreased erythrocytes, infection from neutropenia, and bleeding from decreased platelet production (thrombocytopenia). If a ch ild is severely thrombocytopenic and has a platelet count less than 20,000 mm3 (20.0 × 109/L), bleeding precautions need to be initiated because of the increased risk of bleeding or hemorrhage. Precautions include limiting activity that could result in head injury, using soft toothbrushes, checking urine and stools for blood, and administering stool softeners to prevent straining with constipation. In addition, suppositories, enemas, and rectal temperatures are avoided. Options 2, 3, and 4 are related to th e prevention of infection rather than bleeding. The nurse is monitoring a 3 -year-old child for signs and symptoms of increased intracranial pressure (ICP) after a craniotomy. The nurse plans to monitor for which early sign or symptom of increased ICP? 1.Vomiting 2.Bulging anterior fontanel 3.Increasing head circumference 4.Complaints of a frontal headache
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