A toddler-age client being prepared for a lumbar puncture begins ...

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A toddler-age client being prepared for a lumbar puncture begins to cry when carried into the treatment room by the mother.
 
  Which nursing diagnosis is most appropriate for the client at this time?
  A) Knowledge Deficient of the procedure
  B) Anxiety related to anticipated painful procedure
  C) Fear related to the unfamiliar environment
  D) Ineffective Coping related to an invasive procedure

Question 2

A nurse working in the pediatric intensive care unit (PICU) is caring for a child with leukemia. What is the most common type of leukemia in children?
 
  A) Chronic lymphocytic leukemia
  B) Acute lymphocytic (lymphoblastic) leukemia
  C) Acute myeloid (myeloblastic) leukemia
  D) Chronic myeloid (myelogenous) leukemia.

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Answer to Question 1

Answer: B

The Question Stem indicates that the child associates the treatment room with a painful procedure, and the reaction to entering the treatment room is based on anticipation of repeat discomfort. The child's behavior is appropriate for coping in a child of this age. This child is not old enough to understand the need for a lumbar puncture. The child's fear is related not to the unfamiliar environment but to the anticipated pain associated with the treatment room. The Question Stem indicates that the child has been through painful procedures in the treatment room, so Knowledge Deficient is not the most appropriate diagnosis.

Answer to Question 2

Answer: B

Acute lymphoblastic leukemia is the most common type of leukemia in children and the most common cancer affecting children under 5 years of age. The other choices are also types of leukemia, but are incorrect choices.
B) Acute lymphoblastic leukemia is the most common type of leukemia in children and the most common cancer affecting children under 5 years of age. The other choices are also types of leukemia, but are incorrect choices.