Author Question: The nurse is caring for a 4-year-old child with acute lymphocytic leukemia (ALL). Why should the ... (Read 90 times)

jjjetplane · **on:** Jun 27, 2018

The nurse is caring for a 4-year-old child with acute lymphocytic leukemia (ALL). Why should the nurse assess this child's temperature using the axillary route instead of a rectal temperature?

A) The child has anemia.
B) The child is prone to diarrhea.
C) The child has a low platelet count.
D) The child has a low white blood cell count.

Question 2

A 3-year-old child is brought to the emergency department after swallowing batteries taken from a grandparent's hearing aids. The parents believe that two batteries were swallowed.

What should the nurse explain to the parents regarding the care that the child will need at this time? A) Activated charcoal so that the child will vomit the batteries
B) Preparation for an emergency endoscopy to remove the batteries
C) Oxygen to ensure that the child's blood is thoroughly oxygenated
D) Emergency intubation to ensure that the child has an adequate airway

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

Answer to Question 1

C
Feedback:
Because platelet production is limited in children with leukemia, children are extremely prone to hemorrhage. Gastrointestinal bleeding can occur. An axillary temperature is not taken because the child has anemia, prone to diarrhea, or has a low white blood cell count.

Answer to Question 2

B
Feedback:
Objects that do not digest such as batteries need to be removed by endoscopy as soon as possible because they can lead to bowel perforation or volvulus from the acid within the object. Activated charcoal is used for accidental poisoning. The child is not demonstrating signs of respiratory distress and will not need oxygen or emergency intubation.