A nurse is planning care for a preschooler who has leukemia. After reviewing the child's information, which of the following potential issues should the nurse identify that the child is at risk for developing? (Select all that apply.)
Retinopathy
Hemorrhage
Neuropathy
Rheumatoid arthritis
Correct Answer : B,C
Choice A reason: Retinopathy is not a potential issue for a child who has leukemia, as it is a condition that affects the blood vessels of the retina, which can be caused by diabetes, hypertension, or sickle cell disease. Leukemia does not affect the retina, but it can cause blurred vision, eye pain, or headaches due to increased intracranial pressure or cranial nerve involvement.
Choice B reason: Hemorrhage is a potential issue for a child who has leukemia, as it is a condition that causes excessive bleeding, which can be caused by thrombocytopenia, coagulopathy, or bone marrow suppression. Leukemia can cause a low platelet count, which impairs the blood clotting process and increases the risk of bleeding from minor injuries, mucous membranes, or internal organs.
Choice C reason: Neuropathy is a potential issue for a child who has leukemia, as it is a condition that affects the nerves, which can be caused by chemotherapy, radiation, infection, or compression. Leukemia can cause nerve damage, which can result in numbness, tingling, pain, or weakness in the extremities, face, or trunk.
Choice D reason: Rheumatoid arthritis is not a potential issue for a child who has leukemia, as it is a condition that affects the joints, which can be caused by an autoimmune disorder, inflammation, or infection. Leukemia does not affect the joints, but it can cause bone pain, swelling, or fractures due to bone marrow infiltration or osteoporosis.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Half-strength orange juice is not a good choice for the infant, as it is acidic and may irritate the gastrointestinal tract. It also does not provide adequate calories or nutrition for the infant.
Choice B reason: Half-strength infant formula is a suitable choice for the infant, as it is bland and easy to digest. It also provides some calories and nutrition for the infant, who may have lost fluids and electrolytes due to the intussusception.
Choice C reason: Full-strength apple juice is not a good choice for the infant, as it is high in sugar and may cause diarrhea. It also does not provide adequate calories or nutrition for the infant.
Choice D reason: Full-strength chicken broth is not a good choice for the infant, as it is high in sodium and may cause dehydration. It also does not provide adequate calories or nutrition for the infant..
Correct Answer is ["A","B","D"]
Explanation
Choice A reason: Hemorrhage is a potential issue for a child who has leukemia, as it is a condition that causes excessive bleeding, which can be caused by thrombocytopenia, coagulopathy, or bone marrow suppression. Leukemia can cause a low platelet count, which impairs the blood clotting process and increases the risk of bleeding from minor injuries, mucous membranes, or internal organs.
Choice B reason: Peripheral neuropathy is a potential issue for a child who has leukemia, as it is a condition that affects the nerves, which can be caused by chemotherapy, radiation, infection, or compression. Leukemia can cause nerve damage, which can result in numbness, tingling, pain, or weakness in the extremities, face, or trunk.
Choice C reason: Priapism is not a potential issue for a child who has leukemia, as it is a condition that causes a prolonged and painful erection of the penis, which can be caused by sickle cell disease, medication, trauma, or spinal cord injury. Leukemia does not affect the penis, but it can cause testicular pain, swelling, or masses due to leukemic infiltration.
Choice D reason: Tumor lysis syndrome is a potential issue for a child who has leukemia, as it is a condition that causes a rapid release of cellular contents into the bloodstream, which can be caused by chemotherapy, radiation, or spontaneous tumor breakdown. Tumor lysis syndrome can cause electrolyte imbalance, metabolic acidosis, renal failure, or cardiac arrhythmias.
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