The nurse is caring for a child who is receiving chemotherapy for the treatment of leukemia and plans to address the expected needs of this client? Select all that apply.

Excessive hair growth

Increased appetite

Fatigue

Possible infections

Easy bruising

Answer and Explanation

Correct Answer : C,D,E

A. Excessive hair growth: Hair loss, not excessive hair growth, is a common side effect of chemotherapy.
B. Increased appetite. Chemotherapy often causes nausea, vomiting, and reduced appetite, not an increase in appetite.
C. Fatigue. Fatigue is a common side effect of chemotherapy due to its impact on the body, including reduced blood counts and overall systemic stress.
D. Possible infections: Chemotherapy weakens the immune system, increasing the risk of infections. The nurse will monitor the child for signs of infection and implement measures to prevent them, like proper hand hygiene and maintaining a clean environment.
E. Easy bruising: Chemotherapy can affect blood clotting, making the child more susceptible to bruising. The nurse will educate the parents and child about precautions to minimize bruising risks

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Correct Answer is B

Explanation

A. "I expect the color of my urine to be amber." Ferrous sulfate does not typically affect the color of urine. This statement indicates a misunderstanding of the medication's effects.
B. "I will expect dark, tarry stools." Ferrous sulfate can cause stools to become dark or black, which is a common and expected side effect due to the iron content. This indicates the client understands a normal side effect of the medication.
C. "I will not get as many infections." Ferrous sulfate is used to treat iron deficiency anemia and does not directly influence the incidence of infections. This indicates a lack of understanding of the medication’s purpose.
D. "I will take extra care to protect against increased bruising." Increased bruising is not associated with ferrous sulfate. This indicates a misunderstanding of the medication's side effects.

A. Rehydrate. B. Assess fluid balance. C. Maintain fluid therapy. D. Introduce a regular diet.

Correct Answer is A

Explanation

A. Rehydrate. Rehydration is critical in managing severe diarrhea to prevent dehydration and electrolyte imbalance, which can be life-threatening.
B. Assess fluid balance. Assessing fluid balance is important but comes after initiating rehydration to ensure ongoing monitoring and adjustment of the fluid therapy.
C. Maintain fluid therapy. Maintaining fluid therapy is essential but should follow the initial step of rehydration.
D. Introduce a regular diet. Introducing a regular diet should only be considered after the child's fluid and electrolyte balance is restored.

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The nurse is caring for a child who is receiving chemotherapy for the treatment of leukemia and plans to address the expected needs of this client? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who is prescribed ferrous sulfate. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is B

Explanation

A nurse is planning care for a child who has severe diarrhea. Which of the following actions is the nurse's priority?

Correct Answer is A

Explanation

A nurse is caring for a child who has Hirschsprung disease. Which of the following findings should the nurse expect?

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