Author Question: The child is receiving chemotherapy for acute lymphocytic leukemia. The nurse recognizes that a ... (Read 313 times)

haleyc112 · **on:** Jun 27, 2018

The child is receiving chemotherapy for acute lymphocytic leukemia. The nurse recognizes that a potential oncological emergency for this child would be tumor lysis syndrome. The nurse will monitor this child for

1. thrombocytopenia and leukocytosis.
2. oliguria and altered levels of consciousness.respi ratory distress and cyanosis.
4. upper-extremity edema and neckvein distension.

Question 2

The nurse works in an oncology clinic. A preschool child is being seen in the clinic,and the nurse anticipates a diagnosis of cancer. The nurse prepares for the common reaction preschool-age children often have to a diagnosis of cancer,which is

1. acceptance,especially if able todiscuss the disease with children their own age.
2. thoughts that they caused theirillness and are being punished.
3. understanding of what cancer is andhow it is treated.
4. unawareness of the illness and itsseverity.

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

Answer to Question 1

Answer:2
Rationale: Tumor lysis causes a metabolic emergency.Because of electrolyte imbalance,the signs can be oliguria and altered levels of consciousness.
Thrombocytopenia and leukocytosis occur with a hematological emergency. Space-occupying lesions can cause respiratory distress,cyanosis,upper-extremity edema,and neck-vein distension.

Answer to Question 2

Answer:2
Rationale:Preschool-age children may think they caused their illness. Adolescents find contact with others who have gone through their experience helpful. School-age children can understand a diagnosis of cancer.Infants and toddlers are unaware of the severity of the disease.