A nurse is reviewing the complete blood count results for a 4-year-old child who is receiving treatment for acute lymphoblastic leukemia. Which of the following findings should indicate to the nurse that the treatment is having a therapeutic effect?

Hemoglobin 6.8 g/dL (9.5 to 14 g/dL)

Platelet count 98,000/mm3 (150,000 to 400,000/mm3)

RBC count 5/mm3 (4 to 5.5/mm3)

WBC count 15,000/mm3 (5,000 to 10,000/mm3)

Answer and Explanation

The Correct Answer is C

A.   A low hemoglobin level indicates anemia, which is common in leukemia but does not necessarily indicate treatment effectiveness.
B.   A low platelet count is a sign of bone marrow suppression, which is a common side effect of chemotherapy for leukemia.
C.   A normal RBC count indicates that the child's bone marrow is producing enough red blood cells to carry oxygen throughout the body.
D.   Elevated WBC count is typical in leukemia and does not necessarily indicate treatment effectiveness.

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Correct Answer is C

Explanation

A. A normal temperature does not specifically indicate the effectiveness of treatment for acute poststreptococcal glomerulonephritis.
B. Pain with voiding is not typically associated with this condition and therefore does not indicate treatment effectiveness.
C. Clear urine indicates that the kidneys are effectively filtering waste and fluid, suggesting treatment effectiveness.
D. Odorless urine is a normal characteristic and does not specifically indicate treatment effectiveness.

A. Visual analog B. FACES C. FLACC D. CRIES

Correct Answer is C

Explanation

Rationale:
A. Visual analog scales rely on the child's ability to comprehend and interpret visual cues, which may be challenging for a cognitively impaired toddler.
B. FACES scales require the child to identify their pain level based on facial expressions, which may also be challenging for a cognitively impaired toddler.
C. FLACC (Face, Legs, Activity, Cry, Consolability) scales are specifically designed for non-verbal or cognitively impaired individuals, assessing pain based on observable behaviors such as facial expression, leg movement, activity level, cry, and ability to be consoled.
D. CRIES scales are primarily used for assessing pain in newborns and infants and may not be as applicable for a cognitively impaired toddler.

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A nurse is reviewing the complete blood count results for a 4-year-old child who is receiving treatment for acute lymphoblastic leukemia. Which of the following findings should indicate to the nurse that the treatment is having a therapeutic effect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a 5-year-old child who has acute poststreptococcal glomerulonephritis. Which of the following findings should indicate to the nurse that treatment has been effective?

Correct Answer is C

Explanation

A nurse is evaluating the pain level of a toddler who is cognitively impaired to a nonpharmacologic intervention. Which of the following pain scales should the nurse use to evaluate the toddler's pain level?

Correct Answer is C

Explanation

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