A nurse is reviewing the complete blood count results for a 4-year-old child who is receiving treatment for acute lymphoblastic leukemia. Which of the following findings should indicate to the nurse that the treatment is having a therapeutic effect?

Hemoglobin 6.8 g/dL (9.5 to 14 g/dL)

Platelet count 98,000/mm3 (150,000 to 400,000/mm3)

RBC count 5/mm3 (4 to 5.5/mm3)

WBC count 15,000/mm3 (5,000 to 10,000/mm3)

Answer and Explanation

The Correct Answer is C

A.   A low hemoglobin level indicates anemia, which is common in leukemia but does not necessarily indicate treatment effectiveness.
B.   A low platelet count is a sign of bone marrow suppression, which is a common side effect of chemotherapy for leukemia.
C.   A normal RBC count indicates that the child's bone marrow is producing enough red blood cells to carry oxygen throughout the body.
D.   Elevated WBC count is typical in leukemia and does not necessarily indicate treatment effectiveness.

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Correct Answer is C

Explanation

A. A normal temperature does not specifically indicate the effectiveness of treatment for acute poststreptococcal glomerulonephritis.
B. Pain with voiding is not typically associated with this condition and therefore does not indicate treatment effectiveness.
C. Clear urine indicates that the kidneys are effectively filtering waste and fluid, suggesting treatment effectiveness.
D. Odorless urine is a normal characteristic and does not specifically indicate treatment effectiveness.

A. Infuse the packed RBC within 4 hours B. Infuse dextrose 5% in water during the infusion of packed RBCs. C. Store the second unit of blood at room temperature for up to 2 hr. D. Administer RBCs using non-filtered IV tubing.

Correct Answer is A

Explanation

A. Packed red blood cells should typically be infused within 4 hours to reduce the risk of bacterial contamination and ensure potency.
B. Dextrose 5% in water is not typically infused with packed RBCs; the focus is on administering blood products as prescribed.
C. Blood products are typically stored under controlled conditions and transfused promptly after verification and compatibility checks.
D. Filtered IV tubing is often used for blood transfusions to minimize the risk of air embolism and particle infusion, but it's not the primary intervention listed for the scenario.

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A nurse is reviewing the complete blood count results for a 4-year-old child who is receiving treatment for acute lymphoblastic leukemia. Which of the following findings should indicate to the nurse that the treatment is having a therapeutic effect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a 5-year-old child who has acute poststreptococcal glomerulonephritis. Which of the following findings should indicate to the nurse that treatment has been effective?

Correct Answer is C

Explanation

A nurse is planning care for a child who has a prescription to transfuse 2 units of packed RBCs. Which of the following interventions should the nurse include in the plan of care?

Correct Answer is A

Explanation

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