A nurse determines that parents understood the teaching from the ...

[roselinechinyere27m]

A nurse determines that parents understood the teaching from the pediatric oncologist if the parents indicate that which test confirms the diagnosis of leukemia in children?
 
  a. Complete blood cell count (CBC)
  b. Lumbar puncture
  c. Bone marrow biopsy
  d. Computed tomography (CT) scan

Question 2

Which nursing diagnosis is a priority for the 4-year-old child newly diagnosed with leukemia?
 
  a. Ineffective breathing pattern related to me-diastinal disease
  b. Risk for infection related to immunosup-pressed state
  c. Disturbed body image related to alopecia
  d. Impaired skin integrity related to radiation therapy

[tuate]

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.

[roselinechinyere27m]

Thank you

[tuate]

No problemo