NCLEX Child Health- Oncology

A preliminary medical diagnosis is made for a 3-year-old child with acute lymphoblastic leukemia (ALL). What should the nurse expect to find with a complete blood count (CBC) of the child?

A red blood cell (RBC) count of 2.0 cells in 1 mL of peripheral blood.

The nurse is preparing a plan of care for a child with a diagnosis of leukemia. The nurse plans care knowing that the child is susceptible to overwhelming infection at which time?

After prolonged antibiotic therapy.

Which laboratory result should the nurse be most concerned about if found in a 6-year-old child diagnosed with cancer?

Calcium level - 13.7 mg/dL

The nurse is providing home care instructions to the mother of a child receiving radiation therapy. Which statement by the mother indicates a need for further teaching?

I need to be sure my child gets plenty of sun.

A nursing instructor assigns a student nurse to present a clinical conference to the student group about brain tumors in children younger than 3 years of age. The student nurse prepares for the conference and should include which information in the presentation?

The most significant symptoms are headache and vomiting.

The nurse is talking to the parents of a child with acute lymphocytic leukemia (ALL) who has come out of remission twice, and is discussing the treatments for the disease. The nurse determines that the parents understand the treatments if the parents make which statement?

We know that a bone marrow transplant may not work; however, we will have to go ahead with the treatment because chemotherapy has not helped.

The nurse is caring for a child with leukemia and notes that the platelet count is 20,000 cells/mm3. Based on this finding, the nurse should include which interventions in the plan of care? Select all that apply.

1. Monitor stools for blood 2. Clean oral cavity with soft swabs 3. Provide appropriate play activities

The nurse is preparing a plan of care for a child diagnosed with leukemia who is scheduled to receive chemotherapy. Which intervention should the nurse include in the plan of care?

Monitor the mouth and anus each shift for signs of breakdown.

A 4-year-old child with acute lymphocytic leukemia has been admitted to the hospital in relapse. The priority client problem is that the client is at risk for infection because of the immunosuppressed state. Which intervention should the nurse include in the plan of care?

Perform oral hygiene four times a day.

The nurse is caring for a child with osteosarcoma after amputation of the left lower limb. The child is continually complaining of aching and cramping in the missing limb. What is the initial nursing action?

Reassure the child that this is a temporary condition