« previous next »

Author Question: A child has an absolute neutrophil count (ANC) of 500/mm3. The nurse should expect to be ... (Read 20 times)

kellyjaisingh

  • Hero Member
  • *****
  • Posts: 540
on: Jun 28, 2018
A child has an absolute neutrophil count (ANC) of 500/mm3. The nurse should expect to be administering which prescribed treatment?
 
  a. Platelets
  b. Packed red blood cells
  c. Zofran (ondansetron)
  d. G-CSF (Neupogen) daily

Question 2

One pediatric oncologic emergency is acute tumor lysis syndrome. Symptoms that this may be occurring include what?
 
  a. Muscle cramps and tetany
  b. Respiratory distress and cyanosis
  c. Thrombocytopenia and sepsis
  d. Upper extremity edema and neck vein distension


HandsomeMarc

  • Sr. Member
  • ****
  • Posts: 360
Reply #1 on: Jun 28, 2018
Answer to Question 1

ANS: D
G-CSF (filgrastim Neupogen, pegfilgrastim Neulasta) directs granulocyte development and can decrease the duration of neutropenia following immunosuppressive therapy. G-CSF is discontinued when the ANC surpasses 10,000/mm3.

Answer to Question 2

ANS: A
Risk factors for development of tumor lysis syndrome include a high white blood cell count at diagnosis, large tumor burden, sensitivity to chemotherapy, and high proliferative rate. In addition to the described metabolic abnormalities, children may develop a spectrum of clinical symptoms, including flank pain, lethargy, nausea and vomiting, muscle cramps, pruritus, tetany, and seizures. Respiratory distress and cyanosis occur with hyperleukocytosis. Thrombocytopenia and sepsis occur with disseminated intravascular coagulation. Upper extremity edema and neck vein distention occur with superior vena cava syndrome.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
« previous next »
 

Did you know?

Blood is approximately twice as thick as water because of the cells and other components found in it.

Did you know?

The most common treatment options for addiction include psychotherapy, support groups, and individual counseling.

Did you know?

In inpatient settings, adverse drug events account for an estimated one in three of all hospital adverse events. They affect approximately 2 million hospital stays every year, and prolong hospital stays by between one and five days.

Did you know?

Approximately 15–25% of recognized pregnancies end in miscarriage. However, many miscarriages often occur before a woman even knows she is pregnant.

Did you know?

Asthma attacks and symptoms usually get started by specific triggers (such as viruses, allergies, gases, and air particles). You should talk to your doctor about these triggers and find ways to avoid or get rid of them.

Photograph of a child with a cochlear implant. This device sends electrical impulses directly to the Photograph of a child with a cochlear implant. This device sends electrical impulses directly to the
Comparison of Research Studies Exploring Nurse Caring Behaviors Comparison of Research Studies Exploring Nurse Caring Behaviors
Change in Drawing Abilities from Early to Middle Childhood Drawings become more realistic as fine m Change in Drawing Abilities from Early to Middle Childhood Drawings become more realistic as fine m
Adult, Child, and Infant CPR Standards Adult, Child, and Infant CPR Standards
South American Indigenous Woman and Child South American Indigenous Woman and Child
Tibetan Mother and Child Tibetan Mother and Child
Video: Passive Smoke Exposure

For a complete list of videos, visit our video library