A child has been diagnosed with a Wilms' tumor and is being ...

[hubes95]

A child has been diagnosed with a Wilms' tumor and is being treated with chemotherapy. Prior to administering the chemotherapy, what will the nurse monitor to determine if the child has any capability of fighting infection?
 
  1. Hemoglobin
  2. Red blood cell count
  3. Platelets
  4. Absolute neutrophil count (ANC)

Question 2

A nurse is assessing a neonate. The assessment that might indicate that the neonate's respiratory status is worsening is:
 
  1. Acrocyanosis.
   2. Arterial CO2 of 40.
   3. Periorbital edema.
   4. Grunting respirations with nasal flaring.

[rachel]

Answer to Question 1

4
Rationale 1: Hemoglobin indicates oxygen-carrying capacity, not immune response.
Rationale 2: Red blood cell count has no correlation with immune function.
Rationale 3: Platelets are associated with clotting, not immune function.
Rationale 4: The absolute neutrophil count uses both the segmented (mature) and bands (immature) neutrophils as a measure of the body's infection-fighting capability.
Global

Answer to Question 2

4
Rationale:
1. Acrocyanosis (cyanosis of the extremities) is a normal finding in a neonate.
2. CO2 of 40 is within normal range.
3. Periorbital edema does not necessarily mean deterioration in respiratory status.
4. Grunting respirations with nasal flaring indicate respiratory status is becoming worse.
Assessment
Physiological Integrity
Analysis
Learning Outcome 25.2 Describe the different respiratory conditions and injuries that can cause respiratory distress in infants and children.

[hubes95]

Excellent

[kishoreddi]

TYSM