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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Wheat is not a suitable food choice for a child who has celiac disease, as it contains gluten, a protein that triggers an immune response and damages the small intestine in people with celiac disease. Wheat is found in many breads, cereals, pastas, and baked goods, and it should be avoided by the child.
Choice B reason: Rice is a suitable food choice for a child who has celiac disease, as it is a gluten-free grain that does not cause any adverse reactions in people with celiac disease. Rice can be eaten plain or cooked with other gluten-free ingredients, such as vegetables, meat, or dairy.
Choice C reason: Barley is not a suitable food choice for a child who has celiac disease, as it contains gluten, a protein that triggers an immune response and damages the small intestine in people with celiac disease. Barley is found in some soups, stews, beers, and malt products, and it should be avoided by the child.
Choice D reason: Rye is not a suitable food choice for a child who has celiac disease, as it contains gluten, a protein that triggers an immune response and damages the small intestine in people with celiac disease. Rye is found in some breads, crackers, cereals, and whiskey, and it should be avoided by the child.
Correct Answer is A
Explanation
Choice A reason: Applying heat to a bleeding site is not recommended for a child who has hemophilia, as it can increase blood flow and worsen the bleeding. The nurse should teach the parent to apply cold compresses instead.
Choice B reason: Having the child rest is a correct action, as it can reduce the movement of the affected part and prevent further injury or bleeding.
Choice C reason: Compressing the site is a correct action, as it can help stop the bleeding and form a clot. The nurse should teach the parent to apply firm and direct pressure to the site with a clean cloth or bandage.
Choice D reason: Elevating the affected part is a correct action, as it can reduce the swelling and pain caused by the bleeding. The nurse should teach the parent to elevate the part above the level of the heart.
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