A nurse is creating a plan of care for a pediatric client who has been diagnosed with osteosarcoma and will be receiving chemotherapy with radiation interventions. The nurse should monitor the client for which of the following expected adverse effects? (Select All that Apply.)

Nausea

Hair loss

Diarrhea

Skin Sensitivity

Weight gain

Answer and Explanation

Correct Answer : A,B,C,D

A. Nausea is a common side effect of both chemotherapy and radiation therapy. Antiemetics are often used to manage this adverse effect.

B. Hair loss is a well-known side effect of chemotherapy, as it affects rapidly dividing cells, including those in hair follicles. Radiation therapy to the head or neck area can also cause localized hair loss.

C. Diarrhea is a potential side effect of chemotherapy and radiation, particularly when the digestive tract is affected. Some chemotherapies and radiation treatments irritate the gastrointestinal system, leading to diarrhea.

D. Skin Sensitivity can result from radiation therapy, especially in the treated area. The skin may become red, irritated, and sensitive.

E. Weight gain is not typically associated with chemotherapy or radiation therapy. In fact, many children experience weight loss due to nausea, decreased appetite, or other side effects.

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Correct Answer is B

Explanation

A. Glasgow Coma Scale (GCS) assessment is used to assess the level of consciousness in patients with head trauma or neurological conditions, but it is not the diagnostic test for suspected meningitis.

B. Cerebrospinal fluid (CSF) analysis is the definitive test for diagnosing meningitis. A lumbar puncture is performed to obtain a sample of CSF, which is then analyzed for signs of infection, such as increased white blood cells, proteins, and low glucose levels.

C. RBC count is useful for assessing anemia and other hematological conditions, but it is not specific to diagnosing meningitis.

D. Magnetic resonance imaging (MRI) can be used to assess brain structure, but CSF analysis remains the primary diagnostic tool for confirming meningitis based on the clinical signs of fever, headache, stiff neck, and rash.

A. Absolute neutrophil count (ANC) B. Eosinophils C. Red blood cell count (RBC) D. Hemoglobin (Hgb)

Correct Answer is A

Explanation

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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A nurse is creating a plan of care for a pediatric client who has been diagnosed with osteosarcoma and will be receiving chemotherapy with radiation interventions. The nurse should monitor the client for which of the following expected adverse effects? (Select All that Apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

Correct Answer is A

Explanation

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