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HESI Case Studies: RN Pediatrics : Acute Lymphoblastic Leukemia (ALL) Questions And Correct Detailed Answers (Verified Answers) Already Graded A+
- Based on Roberto's lab results, which factors place him at high risk for acute
lymphoblastic leukemia (ALL)?
Correct Answer: Sex and WBC
- Which action should the nurse take first?
Correct Answer: Examine the child for occult bleeding
- What action should the nurse take after the specimen is obtained?
- During intake, the triage nurse quickly realizes Roberto's parents speak limited
Correct Answer: Hold pressure for 5 minutes on all venipunctures until the CBC report is returned.
English. Who is the best resource for the nurse to consult?
Correct Answer: Hospital interpreter
- Which statement by the nurse demonstrates a therapeutic response to the parents'
- What additional information is vital for the nurse to obtain from Roberto's history?
feelings of guilt?Correct Answer: It is common for subtle changes in a child's health to go unnoticed by parents
Correct Answer: Roberto's immunization status.
- After the dx of ALL is confirmed, the HCP orders a lumbar puncture (LP). Which
explanation by the nurse best describes the purpose of the LP?
Correct Answer: Determine whether cancer cells have spread to the spinal fluid.
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- Based on Roberto's presenting symptoms and history, which diagnostic test does
the nurse anticipate as a priority?
Correct Answer: Bone marrow aspiration
- Which nursing interventions should the nurse implement to decrease the parents'
distress?
• Correct Answers:
- Ask the family if they would like to meet with another family experiencing a
- Provide answers to the family's questions about the upcoming treatment
- During the child's initial assessment, which assessment findings would be of
similar situation.
plan.
concern to the nurse?
• Correct Answers:
- bone pain
- fever
- pallor
- bruises on the legs
- The nurse is teaching the parents about the implanted port. Which statement by
the nurse is correct regarding the primary purpose of the port?
Correct Answer: It is to increase the child's quality of life.
- The nurse obtains a volumetric pump for chemotherapy infusion. What is the main
purpose in using a volumetric pump for chemotherapy infusions?
Correct Answer: Prevents the risk of blood reflux in the port
- The nurse is planning care based on the prescribed chemotherapeutic agent.
Before initiating treatment, the nurse understands that chemotherapeutic agents are classified according to which criteria?
Correct Answer: Mechanism of action
- Based on the diagnosis, the nurse anticipates the administration of which
medications during the induction stage?
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• Correct Answers:
- Vincristine
- Prednisone
- What is Roberto's absolute neutrophil count (ANC) (Enter the numerical value only.
If rounding is required, round to the nearest whole number.)
Correct Answer: 360
- After reviewing the results of Roberto's ANC count, which assessment finding
should the nurse document?
Correct Answer: The child is at a high risk for infection
- Based on the understanding of the effects of chemotherapy, the nurse implements
which intervention in the nursing care of a pediatric client with myelosuppression from chemotherapeutic agents?
Correct Answer: Implement good hand washing techniques.
- Which nursing diagnosis has the highest priority for a child who is undergoing
chemotherapy and is experiencing nausea and vomiting?
Correct Answer: Deficient fluid volume related to emesis.
- The HCP prescribes ondansetron (Zofran) for Roberto. To achieve the desired
outcome of this medication, when should the nurse administer the prescribed medication?
Correct Answer: Before the administration of the chemotherapy
- The nurse is aware that one of the side effects of chemotherapy is the
development of mucositis. The nurse notes that Roberto's oral intake has decreased.Upon assessment, the nurse notes that Roberto has ulcerations and redness of the oral pharynx. Which choices should the nurse offer Roberto?
Correct Answer: Popsicle
- What is the best recommendation by the nurse?
Correct Answer: Encourage the parents to allow Elena to verbalize her feelings
- Which action is the most appropriate?
Correct Answer: Ask Roberto to identify his "hurt" using the FACES scale
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- Which assessment outcome indicates that the Diaz family is demonstrating
- Roberto's parents are concerned about Roberto's loss of hair. The parents ask the
effective coping strategies?Correct Answer: The parents ask to participate in a support group for Hispanic parents of children with cancer
nurse what to expect about the hair loss. What is the nurse's best response about hair loss from chemotherapy?
Correct Answer: His hair will grow back in 3 to 6 months
- What is the most important discharge teaching for the parents related to
prevention of infection?
Correct Answer: Wash hands frequently
- The nurse recommends that Roberto return to his prediagnosis routine. What
outcome does the nurse anticipate?
Correct Answer: Roberto will engage in activities appropriate for his age.
- Where are the possible sources of stem cells found?
• Correct Answers:
- Bone marrow
- Umbilical cord blood
- Roberto can receive bone marrow from Elena who is compatible. What type of
bone marrow transplant is this?
Correct Answer: Allogenic
- To prepare Roberto for the transplant, the nurse anticipates which therapeutic
methods to be used?
Correct Answer: Chemotherapy and radiation therapy
- What strategies should the nurse recommend?
• Correct Answers:
- Explore the use of alternative relaxation therapies.
- Refer the family to a support group.
