Author Question: The most frequent presenting signs of leukemia are related to bone marrow infiltration. The main ... (Read 19 times)

jjjetplane · **on:** Jun 27, 2018

The most frequent presenting signs of leukemia are related to bone marrow infiltration. The main symptoms are:

1. Anemia, infection, and bleeding.
2. Thrombocytopenia, headache, and abdominal pain.
3. Respiratory distress and pain.
4. Confusion and decreased peripheral vascular resistance.

Question 2

As the dying child becomes weak and fatigued, the nurse should alter the plan of care to include:

a. Restricting the child to bed rest
b. Discouraging visitors
c. Using a wheelchair or wagon for transportation
d. Doing all of the child's care quickly and at once

popopong · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

1
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1. The normal bone marrow is replaced with abnormal cells, leading to decreased red blood cells and anemia. The risk of infection relates to the lack of white blood cells and the reduction in platelets of thrombocytopenia.
2. The normal bone marrow is replaced with abnormal cells, leading to decreased red blood cells, which causes ischemia and pain. The risk of infection relates to the lack of white blood cells and the reduction in platelets of thrombocytopenia. Headaches are not a common sign.
3. The normal bone marrow is replaced with abnormal cells, leading to decreased red blood cells, which causes pain. The patient rarely exhibits signs of respiratory distress.
4. Neurological issues and peripheral vascular resistance are rare.

Answer to Question 2

C
The child would not be restricted to bed rest. Visitors are encouraged and are therapeutic. A wheelchair or wagon can be used to transport the child. The patient care can be done in stages throughout the day.