Author Question: Which of the following are the most common presenting signs of acute lymphocytic leukemia (ALL)? ... (Read 91 times)

abern · **on:** Jun 27, 2018

Which of the following are the most common presenting signs of acute lymphocytic leukemia (ALL)?

a. blurred vision, dizziness, and changes in behaviors
b. bleeding and severe hemorrhaging
c. nodules in various locations on the body
d. fever, bone pain, pallor, and bruising

Question 2

The teacher refers a 9-year-old student to the school nurse for a sleep assessment. The student is often asleep in class and is failing in several areas. The teacher suspects the child is not getting enough sleep.

The nurse finds out that the child is going to bed at midnight and getting up at 7 AM. Which of the following is the best action for the nurse to take? a. Have the child take a nap sometime during the day at school.
b. Tell the child to get more sleep on the weekend to catch up on sleep.
c. Ask the child to go to bed earlier at night, if at all possible, so the child won't fall asleep in class and will be able to pay attention.
d. Talk to the family about a 9-year-old's need for 9 to 10 hours of sleep per night so the child will grow and can pay attention at school.

EAN94 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

D

Feedback
A Incorrect. Blurred vision, dizziness, and changes in behaviors are not the most common presenting signs of ALL.
B Incorrect. Bleeding and severe hemorrhaging are not the most common presenting signs of ALL.
C Incorrect. Nodules in various locations on the body are not the most common presenting signs of ALL.
D Correct. The most common presenting signs of acute lymphocytic leukemia (ALL) are fever, bone pain, pallor, and bruising.

Answer to Question 2

D

Feedback
A Incorrect: This is not the best action for the nurse to take because there is no time during the day at school for a nap for a 9-year old.
B Incorrect: This is not the best action for the nurse to take because the child needs 9 hours of sleep every night, and it is not possible to catch up on sleep on the weekend.
C Incorrect: This is not the best action for the nurse to take.
D Correct: Nine hours a night is the recommended amount of sleep for the school-age child. Therefore, this is the best action for the nurse to take.