Author Question: A child has been diagnosed with Wilms' tumor, and is being treated with chemotherapy. Because ... (Read 41 times)

mmm · **on:** Jun 27, 2018

A child has been diagnosed with Wilms' tumor, and is being treated with chemotherapy.

Because many chemotherapeutic agents cause bone marrow depression, before administering the chemotherapy, the nurse will determine if this child has any infection-fighting capability by monitoring the: 1. Hemoglobin.
2. Red blood cell count.
3. Absolute neutrophil count (ANC).
4. Platelets.

Question 2

Increasing the infusion rate of nonadditive intravenous fluids can increase fetal oxygenation primarily by

a. Maintaining normal maternal temperature
b. Preventing normal maternal hypoglycemia
c. Increasing the oxygen-carrying capacity of the maternal blood
d. Expanding maternal blood volume

bfulkerson77 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

3
Rationale:
1. Hemoglobin cannot determine infection-fighting capabilities.
2. Red blood cell count cannot determine infection-fighting capabilities.
3. The absolute neutrophil count (ANC) uses both the segmented (mature) and banded (immature) neutrophils as a measure of the body's infection-fighting capability.
4. Platelets cannot determine infection-fighting capabilities.

Answer to Question 2

D
Feedback
A Increasing fluid volume may alter the maternal temperature only if she is
dehydrated.
B Most intravenous fluids for laboring women are isotonic and do not add extra
glucose.
C Oxygen-carrying capacity is increased by adding more red blood cells.
D Filling the mother's vascular system makes more blood available to perfuse the
placenta and may correct hypotension.