The nurse is assessing a client with leukemia. What assessment findings would indicate that the cancer has invaded the brain?

A student nurse asks the nurse on the hematology unit which type of leukemia has the best prognosis. Which response by the nurse would be the most accurate?

The nurse is preparing a client diagnosed with leukemia for a spinal tap. The nurse determines that the client understands the reason for the procedure when the client states that the procedure is done:

The nurse reviews the treatment plan for a child recently diagnosed with leukemia who is being evaluated for treatment with chemotherapy. Before the initiation of chemotherapy, the nurse anticipates that which of the following tests will be performed?

Which statement by the nurse most accurately explains the need for a child with pauciarticular juvenile rheumatoid arthritis (JRA) to have an annual eye exam?

Which medication would the nurse expect the physician to order most commonly for a client with leukemia as prophylaxis against Pneumocystis carinii pneumonia?

A child is admitted to the pediatric unit with an unknown mass in her lower left abdomen. Which action should be the nurse’s priority?

Which nursing measure is helpful when mouth ulcers develop as an adverse effect of chemotherapy?

A child is seen in the pediatrician’s office for complaints of bone and joint pain. Which other assessment finding may suggest leukemia?

A nurse is teaching the parents of a child with acute lymphoblastic leukemia. The parents ask for information about what helps determine longterm survival. The nurse discusses which of the following as the three most important prognostic factors?

Which treatment would be most appropriate for a child diagnosed with iron deficiency anemia?

The nurse has provided dietary instruction to a client for the prevention of nutritional anemia. The nurse determines that further instruction is not necessary when the client selects which food?

Liquid oral iron supplements have been prescribed for a child. The parents tell the nurse they are apprehensive to administer the medication. What is the most important information for the nurse to provide?

Which complications are the three main consequences of leukemia?

The nurse would be alert for signs and symptoms of internal bleeding most commonly at which site for a client with hemophilia?

Which symptom is the primary clinical manifestation of hemophilia?

Which nursing measure is an important aid in prevention of the crippling effects of joint degeneration caused by hemophilia?

When comparing bleeding disorders, an increased tendency to bleed in which area differentiates von Willebrand’s disease from hemophilia?

Which nursing measure should be implemented for a client with von Willebrand’s disease who’s having epistaxis?

The nurse is caring for a child with perinatally acquired human immunodeficiency virus. The nurse is aware that children usually demonstrate symptoms of acquired immunodeficiency syndrome (AIDS) at what age?

A 1-year-old boy in the pediatrician’s office for an examination is noted to be pale. He’s in the 75th percentile for weight and the 25th percentile for length. His physical examination is normal, but his hematocrit is 24%. Which question would be most helpful in establishing a diagnosis of anemia?

A 2-year-old child with hemophilia who sustains a joint injury is best treated promptly at which location?

A 4-year-old child is diagnosed as having acute lymphocytic leukemia. His white blood cell (WBC) count, especially the neutrophil count, is low. What is the most important intervention the nurse should teach the parents?

A nurse is teaching the parents of a child newly diagnosed with Hodgkin’s disease. Which statement should the nurse include in her teaching?

The nurse is teaching parents of a hemophilic child about the immediate treatment for bleeding. The nurse determines that teaching has been effective when the parents make which statement?

A 6-year-old child has been diagnosed with Rocky Mountain spotted fever. In teaching the parents about the cause of the illness, a nurse would be correct in telling them that a bite by which animal or insect caused the illness?

An iron dextran (INFeD) injection has been ordered for an 8-month-old child with iron deficiency anemia whose parents haven’t been compliant with oral supplements. How should the nurse administer the injection?

A child is admitted to the hospital with flulike symptoms. Diagnostic testing reveals the IgM antibody parvovirus B19 is present. The nurse interprets this finding as being indicative of which condition?

The client tells the nurse that she frequently experiences nausea and vomiting after receiving radiation and chemotherapy. The nurse adapts the plan of care to include antiemetics. What is the most appropriate time for the administration of the medication?

A child with leukemia has been exposed to chickenpox. The mother calls the doctor’s office and asks the nurse if the child needs to have anything done. What is the most appropriate response by the nurse?