Author Question: The nurse is caring for a 6-year-old child with acute lymphoblastic leukemia (ALL). The parent ... (Read 103 times)

jayhills49 · **on:** Jun 28, 2018

The nurse is caring for a 6-year-old child with acute lymphoblastic leukemia (ALL). The parent states, My child has a low platelet count, and we are being discharged this afternoon. What do I need to do at home?

What do I need to do at home? What statement is most appropriate for the nurse to make?
a. You should give your child aspirin instead of acetaminophen for fever or pain.
b. Your child should avoid contact sports or activities that could cause bleeding.
c. You should feed your child a bland, soft, moist diet for the next week.
d. Your child should avoid large groups of people for the next week.

Question 2

The mother of an infant tells the nurse that sometimes there is a whitish glow in the pupil of his eye. The nurse should suspect which condition?

a. Brain tumor
b. Retinoblastoma
c. Neuroblastoma
d. Rhabdomyosarcoma

Kingjoffery · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: B
A child with a low platelet count needs to avoid activities that could cause bleeding such as playing contact sports, climbing trees, using playground equipment, or bike riding. The child should be given acetaminophen, not aspirin, for fever or pain; the child does not need to be on a soft, bland diet or avoid large groups of people because of the low platelet count.

Answer to Question 2

ANS: B
When the nurse examines the eye, the light will reflect off of the tumor, giving the eye a whitish appearance. This is called a cat's eye reflex. Brain tumors are not usually visible. Neuroblastoma usually arises from the adrenal medulla and sympathetic nervous system. The most common presentation sites are in the abdomen, head, neck, or pelvis. Supraorbital ecchymosis may be present with distant metastasis. Rhabdomyosarcoma is a soft tissue tumor that derives from skeletal muscle undifferentiated cells.