A nurse notices a school-age child with leukemia experiencing severe nausea and vomiting when receiving chemotherapy for the first time. Which is the most appropriate nursing action to prevent or minimize these reactions with subsequent treatments?

Administer an antiemetic as soon as the child complains of having nausea.

Encourage drinking large amounts of favorite fluids.

Administer an antiemetic before chemotherapy begins.

Encourage the child to skip meals on the day of chemotherapy to avoid triggering nausea.

Answer and Explanation

The Correct Answer is C

A.   Administering an antiemetic only when the child complains of nausea may not be effective in preventing chemotherapy-induced nausea.
B.   Encouraging drinking fluids is important, but it is not the most effective way to manage nausea.
C.   Administering an antiemetic before chemotherapy begins is the best approach to prevent nausea and vomiting associated with chemotherapy.
D.   Skipping meals may contribute to nausea and malnutrition, so this is not an appropriate approach.

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Correct Answer is C

Explanation

A. Low levels of AFP are not diagnostic of any condition, but they could indicate a potential issue, requiring further investigation.
B. A negative AFP test does not rule out genetic issues, as AFP is just one screening tool.
C. High levels of AFP may indicate a neural tube defect or other issues and warrant further testing, such as ultrasound or amniocentesis.
D. An elevated AFP level is associated with neural tube defects but does not definitively indicate the presence of one without further testing.

A. A child with a fever due to a viral infection. B. A child recovering from surgery for a broken arm. C. A child with chicken pox. D. A child with history of asthma.

Correct Answer is D

Explanation

A. A child with a fever due to a viral infection may pose an infection risk to the immunocompromised leukemia patient.
B. A child recovering from surgery may have a wound or infection risk, which could also be a concern for a child receiving chemotherapy.
C. A child with chickenpox is highly contagious and should not be in the same room as an immunocompromised child.
D. A child with asthma is not immunocompromised and is less likely to pose an infection risk to a child undergoing chemotherapy.

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A nurse notices a school-age child with leukemia experiencing severe nausea and vomiting when receiving chemotherapy for the first time. Which is the most appropriate nursing action to prevent or minimize these reactions with subsequent treatments?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a group of pregnant clients about health screening during pregnancy. When discussing Alpha-fetoprotein (AFP) testing, which of the following statements should be included in the education?

Correct Answer is C

Explanation

A nurse is admitting a child diagnosed with leukemia and is scheduled to receive chemotherapy for the Intensification stage of treatment. Which of the following clients should the nurse place in the same room with this child?

Correct Answer is D

Explanation

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