A child has been diagnosed with acute lymphoblastic leukemia and is being treated with chemotherapy. Because many chemotherapeutic agents cause bone marrow suppression, the nurse, before administering the chemotherapy, will determine if this child has any infection-fighting capability by monitoring the:

Absolute neutrophil count (ANC)

Eosinophils

Red blood cell count (RBC)

Hemoglobin (Hgb)

Answer and Explanation

The Correct Answer is A

A. The absolute neutrophil count (ANC) is the best indicator of a child's ability to fight infection. Neutrophils are a type of white blood cell crucial for fighting bacterial infections, and chemotherapy can suppress bone marrow production of neutrophils. The ANC helps assess the risk for infection and the need for additional precautions, such as infection control.

B. Eosinophils are a type of white blood cell that primarily respond to allergies and parasitic infections, and their count is not used to assess infection risk in chemotherapy patients.

C. The red blood cell count (RBC) is important for assessing oxygen-carrying capacity but does not directly relate to infection-fighting ability.

D. Hemoglobin (Hgb) reflects the oxygen-carrying capacity of the blood, not the body's ability to fight infection.

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Correct Answer is D

Explanation

A. Laxatives are not typically used for sickle cell crisis unless the client is experiencing constipation, which is unrelated to the crisis itself.

B. Thyroid replacement medications are used for hypothyroidism and would not be a first-line treatment for sickle cell crisis.

C. Diuretics may be used in conditions like heart failure or kidney disease, but they are not indicated for sickle cell crisis and may worsen dehydration.

D. Pain medications are the correct intervention during a sickle cell crisis. The crisis involves severe pain due to the sickling of red blood cells blocking blood flow to tissues. Opioids like morphine and hydromorphone are commonly administered to manage the severe pain.

A. A deep wound that caused external bleeding on the head and face B. Trauma from contact sports that caused the brain to twist or bounce against the skull C. A blow to the head that caused diffuse bleeding between the skull and brain D. A fall that caused blood from a ruptured artery to pool in the brain

Correct Answer is B

Explanation

A. A deep wound causing external bleeding does not describe a concussion, which involves a brain injury due to trauma, not a superficial wound.

B. A concussion is a mild traumatic brain injury caused by a blow to the head or trauma that causes the brain to twist or bounce inside the skull. This movement can lead to temporary neurological impairment.

C. Bleeding between the skull and brain (epidural hematoma or subdural hematoma) is associated with more severe traumatic brain injuries, not a concussion.

D. A ruptured artery leading to pooling of blood in the brain is more characteristic of an intracerebral hemorrhage or a severe head injury, not a concussion.

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who presents to the emergency room in sickle cell crisis. Which of the following medications should the nurse anticipate administering?

Correct Answer is D

Explanation

A nurse is caring for a child who has been diagnosed with a concussion. Which of the following findings should the nurse identify as causing this type of injury?

Correct Answer is B

Explanation

A nurse is teaching a newly hired nurse about emotional responses when caring for a terminally ill child and their family. Which of the following statements by the newly hired nurse indicates an understanding of the teaching?

Which of the following findings indicate a potential complication that requires immediate follow-up? (Select All that Apply.)

A nurse is caring for a 10-month-old infant who is 8 hours postoperative following cleft palate repair. Which of the following interventions should the nurse include in the infant's plan of care?

A nurse working on a medical unit is caring for a client who is prescribed seizure precautions. Which of the following interventions should the nurse include in the client's plan of care?

The nurse is taking care of an adolescent with osteosarcoma. The parents ask the nurse about treatment. The nurse should make which accurate response about treatment for osteosarcoma?

A nurse is assessing a child with iron deficiency anemia. Which of the following is NOT an expected finding?

When performing the tape test to check for pinworms, when should the caregiver remove the tape from the child's anus?

A nurse is caring for an 8-year-old during a well-child exam. The parent states that the child's cousin has intussusception and asks if their child is at risk. Which of the following responses should the nurse make?