A pediatric client being treated for acute lymphocytic leukemia ...

[swpotter12]

A pediatric client being treated for acute lymphocytic leukemia (ALL) has a white blood cell count of 1,000/mm3. Which nursing diagnosis would be a priority for this client?
 
  A) Readiness for Enhanced Immunization Status
  B) Impaired Gas Exchange
  C) Risk for Infection
  D) Activity Intolerance

Question 2

The nurse is caring for a client who is experiencing acute chest pain that is rated as a 9 on a 0 to 10 pain scale. Based on this data, which medication does the nurse plan to administer?
 
  A) Acetaminophen
  B) Morphine
  C) Ibuprofen
  D) Naproxen

[Jayson]

Answer to Question 1

Answer: C

In leukemia, the WBCs that are present are immature and incapable of fighting infection. The client with a WBC count of 500-1,000/mm3 is considered a moderate risk for infection. The client may or may not have activity intolerance, but it is not the priority nursing diagnosis. Impaired gas exchange is not evident in this client. Children with cancer would not be receiving immunizations during treatment.

Answer to Question 2

Answer: B

Acute pain is often treated with an opioid such as morphine. Morphine is often used to treat chest pain that is associated with a myocardial infarction. Acetaminophen, ibuprofen, and naproxen are more appropriate for other types of pain, not acute chest pain.

[swpotter12]

Thank you

[Jayson]

Happy to help you