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 D
Explanation
A. A low-protein, low-potassium diet is not indicated for acute glomerulonephritis; protein restriction is generally considered for chronic renal failure.
B. Low-carbohydrate and low-protein diets are not indicated for this condition.
C. A regular diet with no added salt is inappropriate due to the child’s edema and need for sodium and fluid restrictions.
D. A low-sodium, fluid-restricted diet is appropriate for a child with acute glomerulonephritis to manage edema and prevent fluid overload.
Correct Answer is B
Explanation
A. Duchenne muscular dystrophy is a progressive condition that worsens over time, leading to increasing disability.
B. Children with DMD may experience speech and vision impairments as part of the disease process, which could affect communication.
C. Cognitive impairment is often a feature of DMD, but it does not typically improve with therapy. It is a progressive issue.
D. Mobility concerns in DMD begin in childhood, not adulthood, as the muscles weaken and deterioration progresses.
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