A nurse is planning care for a preschooler who has leukemia. After reviewing the child's information, which of the following potential issues should the nurse identify that the child is at risk for developing? (Select all that apply.)

Retinopathy

Hemorrhage

Neuropathy

Rheumatoid arthritis

Answer and Explanation

Correct Answer : B,C

Choice A reason: Retinopathy is not a potential issue for a child who has leukemia, as it is a condition that affects the blood vessels of the retina, which can be caused by diabetes, hypertension, or sickle cell disease. Leukemia does not affect the retina, but it can cause blurred vision, eye pain, or headaches due to increased intracranial pressure or cranial nerve involvement.

Choice B reason: Hemorrhage is a potential issue for a child who has leukemia, as it is a condition that causes excessive bleeding, which can be caused by thrombocytopenia, coagulopathy, or bone marrow suppression. Leukemia can cause a low platelet count, which impairs the blood clotting process and increases the risk of bleeding from minor injuries, mucous membranes, or internal organs.

Choice C reason: Neuropathy is a potential issue for a child who has leukemia, as it is a condition that affects the nerves, which can be caused by chemotherapy, radiation, infection, or compression. Leukemia can cause nerve damage, which can result in numbness, tingling, pain, or weakness in the extremities, face, or trunk.

Choice D reason: Rheumatoid arthritis is not a potential issue for a child who has leukemia, as it is a condition that affects the joints, which can be caused by an autoimmune disorder, inflammation, or infection. Leukemia does not affect the joints, but it can cause bone pain, swelling, or fractures due to bone marrow infiltration or osteoporosis.

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Correct Answer is B

Explanation

Choice A reason: Including fluoridated water in the toddler's diet is not a method of preventing iron deficiency anemia. Fluoride is beneficial for dental health, but it does not affect iron levels in the blood.

Choice B reason: Avoiding a diet that consists primarily of milk is a method of preventing iron deficiency anemia. Milk is low in iron and can interfere with iron absorption from other foods. It can also cause gastrointestinal bleeding in some children, leading to iron loss. The nurse should teach the parents to limit milk intake to no more than 24 ounces per day and offer iron-rich foods such as meat, eggs, beans, and green leafy vegetables.

Choice C reason: Administering fat-soluble vitamins daily is not a method of preventing iron deficiency anemia. Fat-soluble vitamins are vitamins A, D, E, and K, which are stored in the body and do not need to be taken daily. They do not affect iron levels in the blood.

Choice D reason: Limiting intake of high-protein foods is not a method of preventing iron deficiency anemia. High-protein foods are good sources of iron and can help prevent or treat iron deficiency an

A. 0.5 mL/kg/hr B. 2 mL/kg/hr C. 15 mL/kg/hr D. 75 mL/kg/hr

Correct Answer is B

Explanation

The correct answer is b. 2 mL/kg/hr. This is within the normal range for infants, indicating adequate hydration.

Choice A reason:

0.5 mL/kg/hr: This is below the normal range for infants, indicating possible dehydration3. Normal urinary output for infants is typically 1-2 mL/kg/hr.

Choice B reason:

2 mL/kg/hr: This is within the normal range for infants, indicating that the fluid imbalance has been corrected.

Choice C reason:

15 mL/kg/hr: This is excessively high and could indicate overhydration or other issues1. Such high output is not typical for infants.

Choice D reason:

75 mL/kg/hr: This is extremely high and unrealistic for normal urinary output1. It suggests a measurement error or a severe medical condition.

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A nurse is planning care for a preschooler who has leukemia. After reviewing the child's information, which of the following potential issues should the nurse identify that the child is at risk for developing? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching about iron deficiency anemia to the parents of a toddler. Which of the following should the nurse include as a method of preventing iron deficiency anemia?

Correct Answer is B

Explanation

A nurse is admitting a 6-month-old infant who has dehydration. Which of the following amounts of urinary output should indicate to the nurse that the treatment has corrected the fluid imbalance?

Correct Answer is B

Explanation

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