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.
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Related Questions
Correct Answer is C
Explanation
A. While the nurse is required to report, it is not the supervisor’s decision. The nurse should clarify that they are the mandated reporter.
B. Deferring the explanation to the supervisor avoids the nurse’s responsibility. The nurse should directly explain their duty.
C. Nurses are mandated reporters and are legally required to report suspected child abuse. This response is appropriate as it aligns with the nurse’s professional and legal responsibilities.
D. The nurse should address the issue, not refer to the provider for an explanation of their actions.
Correct Answer is B
Explanation
A. A low-fat diet is inappropriate for children with cystic fibrosis; they require a high-fat, high-calorie diet.
B. Pancreatic enzymes must be taken with every meal and snack to help with nutrient absorption in children with cystic fibrosis.
C. Limiting fluid intake is not appropriate for children with cystic fibrosis; adequate hydration is important.
D. Salt intake should be increased, not restricted, in children with cystic fibrosis due to excessive salt loss in sweat.
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