This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: An 8-year-old child had a hematopoietic stem cell transplant 10 months ago. The father brings her to ... (Read 77 times)

leo leo

  • Hero Member
  • *****
  • Posts: 566
on: Jun 28, 2018
An 8-year-old child had a hematopoietic stem cell transplant 10 months ago. The father brings her to the clinic, where the child reports I just don't feel well. Dad relates that the child has been lethargic and sleeping a lot.
 
  The child's vital signs are within normal range for age. What action by the nurse is best?
  A.
  Explain that growth spurts can cause fatigue.
  B.
  Prepare the family for a fever workup.
  C.
  Provide reassurance to the father and child.
  D.
  Review side effects of immunosuppressants.

Question 2

A child is suspected of having aplastic anemia. What physical assessment should the nurse perform to correlate with this condition?
 
  A.
  Abdominal palpation
  B.
  Lung auscultation
  C.
  Oral assessment
  D.
  Skin inspection


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

yifu223

  • Sr. Member
  • ****
  • Posts: 302
Reply #1 on: Jun 28, 2018
Answer to Question 1

ANS: B
After a stem cell transplant, patients are on lifelong immunosuppressant therapy. These patients may contract illnesses, especially infections, without showing the classic signs and symptoms. The nurse should assume the child has an infection and prepare the child and father for a full workup to determine the origins of the infection. Reassurance is always an important nursing intervention, but does not take priority over the child's physical health. At each clinic visit, the nurse should review the treatment regimen, including side effects of medications, but again this is not the priority. Until proven otherwise, this child is ill, and not just having a growth spurt.

Answer to Question 2

ANS: A
Children with aplastic anemia do not have hepatosplenomegaly, so when palpating the abdomen, it feels normal. The other assessments are not as specific for findings in this disease.


leo leo

  • Hero Member
  • *****
  • Posts: 566
Reply #2 on: Jun 28, 2018
Thank you


yifu223

  • Sr. Member
  • ****
  • Posts: 302
Reply #3 on: Jun 28, 2018
No problemo


« previous next »
 

Did you know?

There are actually 60 minerals, 16 vitamins, 12 essential amino acids, and three essential fatty acids that your body needs every day.

Did you know?

Looking at the sun may not only cause headache and distort your vision temporarily, but it can also cause permanent eye damage. Any exposure to sunlight adds to the cumulative effects of ultraviolet (UV) radiation on your eyes. UV exposure has been linked to eye disorders such as macular degeneration, solar retinitis, and corneal dystrophies.

Did you know?

Lower drug doses for elderly patients should be used first, with titrations of the dose as tolerated to prevent unwanted drug-related pharmacodynamic effects.

Did you know?

For about 100 years, scientists thought that peptic ulcers were caused by stress, spicy food, and alcohol. Later, researchers added stomach acid to the list of causes and began treating ulcers with antacids. Now it is known that peptic ulcers are predominantly caused by Helicobacter pylori, a spiral-shaped bacterium that normally exist in the stomach.

Did you know?

During pregnancy, a woman is more likely to experience bleeding gums and nosebleeds caused by hormonal changes that increase blood flow to the mouth and nose.

How a Cell is Seen How a Cell is Seen
Replicative senescence in hematopoietic development Replicative senescence in hematopoietic development
Phoneme Perception in the First 12 Months Phoneme Perception in the First 12 Months
Testing a dual cell wideband oxygen sensor can be done using a voltmeter or a scope. The meter ... Testing a dual cell wideband oxygen sensor can be done using a voltmeter or a scope. The meter ...
Developing Child, The Developing Child, The
No payments were made on a $2,598 loan during its three-year term. What was the annually ... No payments were made on a $2,598 loan during its three-year term. What was the annually ...
Video: How does an animal choose what food to eat?

For a complete list of videos, visit our video library