A nurse is admitting a child who has leukemia to a pediatric unit. Which of the following actions should the nurse take first?

Place the child in a private room with reverse isolation precautions.

Obtain a complete blood count with differential and platelet count.

Administer packed red blood cells or platelets as ordered by the physician.

Educate the child and family about the diagnosis, treatment, and prognosis.

Answer and Explanation

The Correct Answer is A

Choice A reason: This action should be taken first by the nurse, as it helps protect the child from exposure to infections that can be life-threatening due to immunosuppression caused by leukemia.

Choice B reason: This action should be taken by the nurse after placing the child in a private room with reverse isolation precautions, as it provides important data about the type and severity of leukemia and the risk of bleeding or infection.

Choice C reason: This action should be taken by the nurse after obtaining a complete blood count with differential and platelet count, as it helps correct anemia or thrombocytopenia that may result from leukemia or its treatment.

Choice D reason: This action should be taken by the nurse after administering packed red blood cells or platelets as ordered by the physician, as it helps provide information and support to the child and family who may be experiencing fear, anxiety, or grief.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

Choice A reason: This information is important but not the most important for the nurse to communicate during the handoff report. It may be already available in the electronic health record or the transfer form.

Choice B reason: This information is the most important for the nurse to communicate during the handoff report, as it reflects the current clinical status and stability of the child. It may also indicate any changes or interventions that are needed in the ICU.

Choice C reason: This information is important but not the most important for the nurse to communicate during the handoff report. It may be already available in the electronic health record or the medication administration record.

Choice D reason: This information is important but not the most important for the nurse to communicate during the handoff report. It may be more relevant for the psychosocial assessment and support of the child and family in the ICU.

A. "I will keep the dressing on the insertion site for at least 48 hours." B. "I will check the insertion site for any signs of infection or bleeding." C. "I will let my child resume normal activities and exercise right away." D. "I will give my child aspirin or ibuprofen for pain relief."

Correct Answer is B

Explanation

Choice A reason: This statement by the parent indicates a need for further teaching, as it shows a misunderstanding of the wound care instructions. The dressing on the insertion site should be removed after 24 hours and replaced with a band-aid.

Choice B reason: This statement by the parent indicates an understanding of the discharge instructions, as it shows awareness of how to monitor and prevent complications such as infection or hemorrhage.

Choice C reason: This statement by the parent indicates a need for further teaching, as it shows a lack of understanding of the activity restrictions. The child should avoid strenuous activities and exercise for at least one week or until cleared by the physician.

Choice D reason: This statement by the parent indicates a need for further teaching, as it shows a misunderstanding of the pain management instructions. The child should not take aspirin or ibuprofen, as they can increase the risk of bleeding. The child should take acetaminophen or other prescribed medications for pain relief.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is admitting a child who has leukemia to a pediatric unit. Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is transferring a 12-year-old child from the pediatric unit to the intensive care unit (ICU) after a severe asthma attack. What is the most important information that the nurse should communicate to the ICU staff during the handoff report?

Correct Answer is B

Explanation

A nurse is discharging a child who has undergone a cardiac catheterization from a pediatric unit. Which of the following statements by the parent indicates an understanding of the discharge instructions?

Correct Answer is B

Explanation

A nurse is discharging a 5-year-old child who has diabetes mellitus from a pediatric unit. Which of the following statements by the parent indicates a need for further teaching?

A nurse is admitting a 3-year-old child who has pneumonia to a pediatric unit. Which of the following actions should the nurse take first?

A nurse is reviewing the medical history of a 6-month-old infant who is being admitted to the pediatric unit. What information should the nurse obtain from the parents? (Select all that apply.)

A nurse is discharging a child who has cystic fibrosis from a pediatric unit. What statement by the child indicates a need for further teaching?

A nurse is admitting a child who has leukemia to a pediatric unit. Which of the following actions should the nurse take first?

A nurse is transferring a 7-year-old child who has cystic fibrosis from the pediatric unit to the respiratory unit. What information should the nurse include in the handoff report? (Select all that apply.)

A nurse is admitting a 4-year-old child to the pediatric unit. What is the best way to obtain the child's cooperation during the admission process?

A nurse is preparing to discharge a child who has undergone a tonsillectomy. What is the most important discharge instruction that the nurse should give to the child and family?