Author Question: The nurse hears the word nadir in a shift report in connection with a child's blood counts. The ... (Read 65 times)

shenderson6 · **on:** Jun 27, 2018

The nurse hears the word nadir in a shift report in connection with a child's blood counts. The nurse is aware that nadir refers to which of the following concepts?

a. the point at which the child has reached a normal blood cell count and is on the road to recovery
b. the lowest point in the child's blood counts or myelosuppression, which occurs about 10 to 14 days after chemotherapy
c. the point at which the child has been free of cancer symptoms for 5 years and has more likely beaten cancer
d. a safe level of blood cell counts representing neither a high or a low in cell counts

Question 2

A parent asks the nurse why his school-aged child, who was ill so often during the preschool years, is now healthy and seldom ill. Which of the following is the nurse's best response?

a. The production of antibodies is at a peak by age 7 with the increase in body size and the maturity of the immune system.
b. School-aged children usually eat a healthier diet, sleep better, and are less stressed than younger children.
c. The school-aged child is exposed to the same people every day and has little exposure to new pathogens.
d. School-aged children have had all their vaccinations and have had most health problems corrected by this time.

momtoalll · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

B

Feedback
A Incorrect. The nadir would not used to describe the point at which a normal blood cell count has been achieved.
B Correct. Occurring 10 to 14 days after most chemotherapy is administered, the nadir represents the lowest point in the client's blood counts or myelosuppression.
C Incorrect. The nadir would not used to describe the point at which the child has been free of cancer symptoms for 5 years.
D Incorrect. The nadir is not described as a safe level of blood cell counts representing neither a high or low cell count.

Answer to Question 2

A

Feedback
A Correct: The school-age years are often among the healthiest phases of life. Antibodies are produced by the lymphatic system and reach their peak by age 7 years. Because of the increase in body size and maturity of the immune system, the school-age child is able to respond to illnesses similar to adults.
B Incorrect: This is not the best response because the statement is incorrect. In fact, the opposite is true.
C Incorrect: This is not the best response because the statement is incorrect. With the introduction of peers and school into school-age childrens' lives, they are exposed to more new people with the potential for greater exposure to new pathogens.
D Incorrect: This is not the best response because it may not be accurate for all school-age children.