A nurse is caring for a child with newly diagnosed acute lymphoblastic leukemia. What clinical findings does the nurse anticipate when assessing the child? Select all that apply.

Fatigue

Generalized edema

Pallor

Jaundice

Multiple bruises

Answer and Explanation

Correct Answer : A,C,E

A. Fatigue: Children with ALL often experience fatigue and weakness due to decreased red blood cell and platelet production as a result of bone marrow involvement by leukemia cells.

C. Pallor: Pallor, or paleness, is a common finding in children with ALL because of anemia (reduced red blood cell count).

E. Multiple bruises: Children with ALL may have an increased tendency to bruise and bleed due to low platelet counts, making them susceptible to easy bruising and petechiae.

The other options, B (Generalized edema) and D (Jaundice), are not typical clinical findings associated with ALL. Generalized edema is not a common symptom, and jaundice (yellowing of the skin and eyes) is more commonly associated with liver conditions, not leukemia.

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Correct Answer is C

Explanation

A. Varying the child's schedule each day may add unnecessary stress and disrupt the child's sense of routine and stability, which is important during a hospitalization.

B. Providing a daily session with a play therapist may be valuable but does not directly address the child's developmental need for competence and mastery.

C. Encourage the client to complete school work.

Erikson's psychosocial stage theory suggests that children at the age of 10 are in the "Industry vs. Inferiority" stage. During this stage, children strive to develop a sense of competence and mastery in various activities. Encouraging the child to complete school work aligns with this stage, as it fosters a sense of accomplishment, competence, and success, which is crucial for their psychosocial development.

D. Discouraging visits from the client's friends would not support the child's social and emotional well-being during the hospitalization, and social connections are important for psychosocial development.

A. Identity versus role confusion B. Autonomy versus sense of shame and doubt C. Initiative versus guilt D. Trust versus mistrust

Correct Answer is C

Explanation

A. Identity versus role confusion is typically associated with adolescence.

B. Autonomy versus a sense of shame and doubt is associated with the toddler years.

C. Initiative versus guilt.

Erikson's theory of psychosocial development includes various stages, and each stage corresponds to a specific age range and a unique psychosocial challenge. The preschool age group, typically from around 3 to 6 years old, is associated with the stage of "Initiative versus guilt." During this stage, children begin to explore their environment, take on new challenges, and start to develop a sense of initiative. They seek to make choices, set goals, and make plans, which is a crucial aspect of their development during the preschool years. However, if their efforts are met with excessive criticism or control, they may develop feelings of guilt.

D. Trust versus mistrust is associated with infancy.

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A nurse is caring for a child with newly diagnosed acute lymphoblastic leukemia. What clinical findings does the nurse anticipate when assessing the child? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for a 10-year-old child who will be hospitalized for an extended period of time. Which of the following at the nurse include in the plan of care to meet the client's psychosocial needs according to Erikson?

Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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