A nurse is assessing a toddler who has leukemia and is receiving his first round of chemotherapy. Which of the following is the priority for the nurse to report to the provider?
Urticaria
Fatigue
Anorexia
Vomiting
The Correct Answer is A
A. Urticaria (hives) could indicate an allergic reaction or hypersensitivity to the chemotherapy, which needs to be addressed immediately to prevent more severe reactions, such as anaphylaxis.
B. Fatigue is a common side effect of chemotherapy and not usually an immediate concern unless accompanied by signs of more serious complications.
C. Anorexia can occur during chemotherapy but is typically managed with dietary adjustments and does not usually require urgent attention unless it leads to dehydration or significant weight loss.
D. Vomiting is a common side effect of chemotherapy, but it is usually managed with antiemetic medication and is not as immediately concerning as an allergic reaction.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Bananas are a safe food choice for a 2-year-old, as they are soft and easy to chew, reducing the risk of choking.
B. Grapes should be cut into smaller pieces to prevent choking, as they are a common choking hazard for young children.
C. Celery can be difficult for a toddler to chew and may pose a choking risk, especially if not cut properly.
D. Raw carrots are hard and may pose a choking risk, especially if not cut into small, manageable pieces.
Correct Answer is B
Explanation
A. A weight of 14.5 kg (32 lb) is normal for a 3-year-old.
B. A respiratory rate of 45 breaths per minute is elevated for a 3-year-old, whose normal range is 20-30 breaths per minute.
C. A blood pressure of 90/50 mm Hg is normal for a toddler.
D. A heart rate of 110/min is within the expected range for a 3-year-old.
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