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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Free Nursing Study Resources

Correct Answer is B

Explanation

A. Placing the child prone (face down) is not appropriate for a lumbar puncture.
B. Placing the child in a lateral position (lying on their side) with knees flexed is the correct position for a lumbar puncture as it allows for optimal access to the lumbar area.
C. Placing the child supine (on their back) is not ideal for a lumbar puncture as it does not provide the necessary access to the lumbar area.
D. Placing the child in semi-Fowler's position (lying on their back with the head of the bed elevated) is not typically used for lumbar puncture procedures.

A. A toddler who has a new diagnosis of osteomyelitis and is to receive an IV bolus of nafcillin B. An adolescent who is in skin traction and reports a pain level of 7 on a scale from 0 to 10 C. An adolescent who has sickle cell anemia and slurred speech D. A toddler who has a partial-thickness burn on his right hand and requires a dressing change.

Correct Answer is C

No explanation

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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 preparing a child for a lumbar puncture. In which of the following positions should the child be placed for the procedure?

Correct Answer is B

Explanation

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Correct Answer is C

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