A child has been diagnosed with acute lymphoblastic leukemia and is being treated with chemotherapy. Because many chemotherapeutic agents cause bone marrow suppression, the nurse, before administering the chemotherapy, will determine if this child has any infection-fighting capability by monitoring the:

Absolute neutrophil count (ANC)

Eosinophils

Red blood cell count (RBC)

Hemoglobin (Hgb)

Answer and Explanation

The Correct Answer is A

A. The absolute neutrophil count (ANC) is the best indicator of a child's ability to fight infection. Neutrophils are a type of white blood cell crucial for fighting bacterial infections, and chemotherapy can suppress bone marrow production of neutrophils. The ANC helps assess the risk for infection and the need for additional precautions, such as infection control.

B. Eosinophils are a type of white blood cell that primarily respond to allergies and parasitic infections, and their count is not used to assess infection risk in chemotherapy patients.

C. The red blood cell count (RBC) is important for assessing oxygen-carrying capacity but does not directly relate to infection-fighting ability.

D. Hemoglobin (Hgb) reflects the oxygen-carrying capacity of the blood, not the body's ability to fight infection.

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Free Nursing Study Resources

Correct Answer is ["A","C","E"]

Explanation

A. Most children with febrile seizures do not require seizure medicine is correct. Febrile seizures are typically self-limiting and do not require daily anticonvulsant therapy. Most children outgrow them.
B. My child's 4-year-old sibling is also at high risk for febrile seizures is incorrect. Febrile seizures most commonly occur in children between 6 months and 5 years old, so the 4-year-old sibling is not necessarily at high risk.
C. I will give my child acetaminophen when she has a fever to prevent her temperature from rising rapidly is correct. While acetaminophen may help lower fever, it should be used cautiously and only to prevent fever from becoming very high quickly.
D. My child will now take anticonvulsants every day to prevent seizures is incorrect. Anticonvulsants are generally not needed for febrile seizures unless there is a specific medical indication, such as recurrent seizures not related to fever.
E. My child could have another febrile seizure is correct. Children who have had a febrile seizure are at an increased risk of experiencing another one, especially if they continue to have fevers.

A. White rice B. Applesauce C. Fruit juice D. Bananas

Correct Answer is C

Explanation

A. White rice is typically recommended during diarrhea as it is easy to digest and helps bind stools. It is part of the BRAT diet (bananas, rice, applesauce, toast), which is often advised during gastrointestinal upset.

B. Applesauce is also commonly recommended as part of the BRAT diet during diarrhea. It is gentle on the stomach and can help firm up stools.

C. Fruit juice should be avoided during diarrhea. It contains high levels of sugar and can worsen diarrhea by increasing the osmotic load in the intestines, potentially leading to more fluid loss.

D. Bananas are a good option during diarrhea as they are gentle on the stomach, provide potassium, and help bind stools. They are also part of the BRAT diet, which is often recommended for children with diarrhea.

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Naxlex Comprehensive Predictor Exams

The nurse is providing discharge teaching to the parents of a toddler who experienced a febrile seizure. The nurse knows that the parents understand the teaching when the parents make which statement(s)? (Select All that Apply.)

Correct Answer is ["A","C","E"]

Explanation

A 5-year-old child is experiencing diarrhea and the nurse is providing education to the parent about dietary changes. Which of the following foods should the parent avoid giving to the child during this time?

Correct Answer is C

Explanation

A nurse is caring for a 10-month-old infant who is 8 hours postoperative following cleft palate repair. Which of the following interventions should the nurse include in the infant's plan of care?

A nurse is caring for a child who has increasing manifestations of fever, headache, stiff neck, and rash. Which of the following diagnostic tests should the nurse expect the health care provider to order?

Which of the following is a risk factor for iron deficiency anemia in toddlers?

A child with hemophilia is experiencing a bleeding episode. After applying pressure to the bleeding site, what is the priority intervention?

A nurse is caring for a child who has been diagnosed with a concussion. Which of the following findings should the nurse identify as causing this type of injury?

A nurse in an emergency department is caring for an infant who has a 2-day history of vomiting and an elevated temperature. Which of the following should the nurse recognize as the most reliable indicator of fluid loss?

. A nurse is caring for a child who has been diagnosed with bacterial meningitis. Which of the following should the nurse monitor in the child? (Select All that Apply.)

A nurse is caring for a client who presents to the emergency room in sickle cell crisis. Which of the following medications should the nurse anticipate administering?