Nokea
A healthcare provider is assessing a child with acute lymphocytic leukemia. Which of the following findings is the priority for the healthcare provider to report?
- A. Bruising
- B. Petechiae
- C. Elevated WBC count
- D. Elevated platelet count
Correct Answer: B
Rationale: The priority finding to report for a child with acute lymphocytic leukemia is petechiae. Petechiae indicate a low platelet count, which increases the risk of bleeding. Therefore, the healthcare provider should promptly report petechiae to initiate appropriate interventions to prevent bleeding complications.
You may also like to solve these questions
Which of the following is the function of macrophages and neutrophils?
- A. Phagocytosis
- B. Complement fixation
- C. Antibody production
- D. Suppression of autoimmunity
Correct Answer: A
Rationale: The function of macrophages and neutrophils is primarily phagocytosis, which is the process of engulfing and digesting pathogens such as bacteria, virus-infected cells, and cellular debris. Phagocytosis is a crucial defense mechanism of the immune system as it helps eliminate harmful invaders and promote tissue repair. Macrophages and neutrophils play key roles in innate immunity by recognizing, ingesting, and destroying pathogens to protect the body from infections.
Which is the priority nursing assessment when providing care for an infant at risk for dehydration?
- A. Urine output
- B. Urine specific gravity
- C. Vital signs
- D. Daily weight
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Children with high-risk neuroblastoma have poor survival. Current treatment consists of all the following EXCEPT
- A. surgery
- B. intensive chemotherapy
- C. radiation
- D. allogenic bone marrow transplantation
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which of the ff. conditions places a patient at risk for respiratory complications following his splenectomy?
- A. A low platelet count
- B. Early ambulation
- C. An incision near the diaphragm
- D. Early discharge
Correct Answer: C
Rationale: An incision near the diaphragm places a patient at risk for respiratory complications following a splenectomy. The diaphragm is the major muscle involved in the process of breathing, and if there is disruption or irritation near this area, it can lead to respiratory difficulties such as decreased lung expansion and pain on deep breathing. This can increase the risk of complications such as pneumonia, atelectasis, or respiratory distress. Therefore, special care should be taken to monitor and manage respiratory function in patients with incisions near the diaphragm post-splenectomy.
In the presence of convincing history of a severe systemic reaction, the next diagnostic step for those with initially negative skin test is
- A. in vitro serum assay for venom-specific IgE
- B. repeat skin test after 4-6 weeks
- C. serum tryptase level
- D. plasma histamine
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.