CR meds evolve quest

The nurse is obtaining a health history from the parents of a toddler who has recently been diagnosed with acute lymphocytic leukemia . Which early physiologic changes would the nurse expect the parents to report ? Select all that apply . One , some , or all responses may be correct . Pale skin Loss of hair Eating less food Sores in the mouth Purplish spots on the skin

✓Pale skin Eating less food Purplish spots on the skin

The nurse observes bloody expectorant after a 4 - year - old child with leukemia brushed his or her teeth . Which action should the nurse take next ?

Document and report the incident . decreased platelet count that accompany leukemia , even the slightest trauma can cause hemorrhage

Which information will the nurse provide to a client in a hospice home care program who is prescribed morphine ?

Dosages of the medication will be given automatically at regular intervals around the clock .

Which clinical manifestation would the nurse expect to find in a client with a new diagnosis of acute lymphocytic leukemia ( ALL ) ?

Ecchymosis Bleeding tendencies as shown in ecchymosis occur because of thrombocytopenia

A child with leukemia is to be discharged home on a protocol that includes several antineoplastic medications Which would the nurse plan to teach the parent ?

Notify the practitioner if the child has a temperature of 100 ° F ( 37.8 ° C ) to obtain an antibiotic prescription .

The nurse teaches an adolescent who has completed chemotherapy for acute lymphocytic leukemia ( ALL ) about the administration of mercaptopurine . Which statement by the adolescent indicates teaching has been effective ?

'This will help prevent a relapse .

Which prescribed cytokine medication would the nurse administer to treat chemotherapy induced neutropenia ?

Filgrastim Rationale Colony - stimulating factors such as filgrastim treat chemotherapy - induced neutropenia

An adolescent who has been prescribed prednisone and vincristine for leukemia tells the nurse that he is constipated . Which reason would the nurse cite as the probable cause of the constipation ?

It is a side effect of the vincristine .

The client asks the nurse how long she will have to take tamoxifen for breast cancer treatment . Which response by the nurse is appropriate ?

' You'll need to take it for 5 years , after which it will be discontinued .

The nurse is assessing a child receiving chemotherapy for treatment of leukemia . Which side effect would the nurse anticipate ?

Nosebleeds ( epistaxis ) are expected

Which clinical finding indicates that toxicity has occurred in a client receiving doxorubicin infusions for treatment of acute lymphocytic leukemia ?

Which information will the nurse provide to a client in a hospice home care program who is prescribed morphine ?

A platelet transfusion is to be administered to a child with acute lymphocytic leukemia . Which step would the nurse do first ?

Administer the platelets rapidly through the intravenous ( IV ) line . Platelets are fragile and should be administered as quickly as possible within 1 hour , or as fast as the child can tolerate

The nurse is caring for a child with an exacerbation of leukemia . The nurse would plan to administer the prescribed analgesic for bone pain at which time ?

At scheduled intervals