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)
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Visual acuity should be assessed for each eye separately first, then both eyes together to detect any differences between the eyes.
B. The nurse should position the child 3 meters (10 feet) from the chart and ask the child to point in the direction of the open end of each letter.
C. If the child wears glasses, they should be tested with and without their glasses to assess visual acuity accurately.
D. A tumbling E chart, where the child identifies the direction of the E (up, down, left, or right), is commonly used for assessing visual acuity in young children who may not yet know letters.
Correct Answer is B
Explanation
A. Preparing for a change in all routines may cause unnecessary anxiety for the child. Changes should be introduced gradually and as needed.
B. Providing a doll allows the child to imitate parental behaviors, fostering a sense of involvement and understanding.
C. Simply informing the child about a new playmate may not adequately prepare them for the arrival of a sibling.
D. Waiting for the newborn to come home before transitioning the older child from a crib to a bed may not be necessary and could delay the transition unnecessarily.
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