Answer to Question 1
C
The confirming test for leukemia is microscopic examination of bone marrow obtained by bone marrow aspiration and biopsy. A CBC may show blast cells that would raise suspicion of leukemia. It is not a confirming diagnostic study. A lumbar puncture is done to check for central nervous system involvement in the child who has been diagnosed with leukemia. A CT scan may be done to check for bone involvement in the child with leukemia. It does not confirm a diagnosis.
Answer to Question 2
B
Leukemia is characterized by the proliferation of immature white blood cells, which lack the ability to fight infection. An ineffective breathing pattern related to mediastinal disease would apply to a child with non-Hodgkin's lymphoma or any cancer involving the chest area. Disturbed body image related to alopecia is a nursing diagnosis related to chemotherapy, but it is not of the highest priority. Not all children have a body image disturbance as a result of alopecia, especially not preschoolers. This would be of more concern to an adolescent. Radiation therapy is not a treatment for leukemia.
Critical thinking involves analysis in which the nurse examines patient data available from a variet
Common sites of amputation. (A) Upper extremities. (B) Lower extremities. The surgeon determines th
Teaching methods based on patients developmental capacity
Patient teaching: heart assessment
Poor single parents and their children
The nurse conveys attentive listening through a posture of involvement