A nurse is caring for a child who has acute lymphocytic leukemia ...

[lindiwe]

A nurse is caring for a child who has acute lymphocytic leukemia and has been treated with doxorubicin (Adriamycin). Which assessment finding would the nurse report immediately?
 
  A.
  Loss of appetite
  B.
  Low WBC count
  C.
  Peripheral edema
  D.
  Temperature of 100.6 F (38.1 C), once

Question 2

A child has been diagnosed with chronic myelogenous leukemia (CML). Which statement by the nurse to the parents is most appropriate?
 
  A.
  Radiation therapy is the standard treatment.
  B.
  The prognosis for this disease is extremely poor.
  C.
  There are lots of good medications for nausea.
  D.
  We need to test siblings for a bone marrow match.

[ebe]

Answer to Question 1

ANS: C
Doxorubicin and other anthracycline drugs are known to cause heart damage. Peripheral edema may signal heart failure and should be reported right away. Loss of appetite and low WBC count are common findings for a child on chemotherapy. A single temperature of 100.6 F does not need to be reported.

Answer to Question 2

ANS: D
The preferred treatment for CML is a bone marrow or stem cell transplant from a matching sibling, which can be curative in up to 80 of patients. Radiation therapy is not used. Although there are many good medications for nausea, this statement is not the best choice, because it is not specific to this child's condition.

[lindiwe]

Correct answers!

[ebe]

Great! Please up vote