Author Question: A pediatric nurse is caring for a child with acute lymphoblastic leukemia (ALL). When providing ... (Read 51 times)

justinmsk · **on:** Jun 25, 2018

A pediatric nurse is caring for a child with acute lymphoblastic leukemia (ALL). When providing education to the child's parents regarding this disease, which topics should the nurse include?

Select all that apply.
A) ALL is characterized by abnormal proliferation of all bone marrow elements.
B) This form of leukemia is the most common type among children and adolescents.
C) Most cases of ALL result from the malignant transformation of B cells.
D) This form of leukemia is very rarely seen in children.
E) The onset of ALL is usually gradual.

Question 2

The nurse is creating a pain management plan using the three-step approach for a client with intractable pain. Which interventions should the nurse include in this plan?

Select all that apply.
A) Administer a nonopioid analgesic first.
B) Administer an opioid analgesic first.
C) Administer a nonopioid with an opioid second.
D) Administer an opioid analgesic last.
E) Administer analgesics upon client request.

hanadaa · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: B, C

Acute lymphoblastic leukemia (ALL) is the most common type of leukemia among children and adolescents. Most cases of ALL result from the malignant transformation of B cells. The onset of ALL is usually acute and rapid. Chronic myeloid leukemia (CML) is characterized by abnormal proliferation of all bone marrow elements.

Answer to Question 2

Answer: A, C, D

The first step in the three-step approach to pain management involves administering a nonopioid drug first. If pain is not adequately controlled with this mild intervention, clients should advance to step 2 and receive a mild opioid in combination with the same or a new nonopioid drugs. If the client is still experiencing pain, the mild opioid should be replaced with a stronger opioid in step 3. Pain-relieving drugs should be given by the clock (every 3-6 hours) rather than on demand to maintain freedom from pain.