A nurse is reinforcing teaching with the parent of a school-age child who is undergoing testing for acute lymphoid leukemia (ALL). The nurse should inform the parent that the child will undergo which of the following tests to confirm the diagnosis?
Spinal fluid analysis
Complete blood count
Bone marrow biopsy
Bleeding time
The Correct Answer is C
Rationale:
A. While spinal fluid analysis may be necessary in some cases, it is not typically used to confirm a diagnosis of acute lymphoid leukemia (ALL).
B. A complete blood count (CBC) may show abnormalities suggestive of leukemia, but it is not definitive for diagnosis.
C. Bone marrow biopsy is necessary to confirm the diagnosis of acute lymphoid leukemia (ALL) by examining the bone marrow for abnormal cells.
D. Bleeding time is not typically used to diagnose acute lymphoid leukemia (ALL); it assesses platelet function.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale:
A) Critiquing the child's speech can increase anxiety and worsen stuttering.
B) Looking away from the child when they start to stutter can make them feel ignored or embarrassed.
C) Avoiding completing the child's sentences allows them to express themselves independently and reduces pressure to perform fluently.
D) Telling the child to take a deep breath when they are stuttering may not effectively address the underlying issue and can increase self-consciousness.
Correct Answer is A
Explanation
A. The FLACC pain rating scale is appropriate for infants and young children, assessing pain based on Face, Legs, Activity, Cry, and Consolability, making it suitable for a 5-month-old infant.
B. The COMFORT pain rating scale is generally used for children who are unable to communicate their pain, typically in older children or adolescents, and is less suitable for this age group.
C. The FACES pain rating scale is designed for children aged 3 and older who can identify facial expressions but is not appropriate for a 5-month-old infant.
D. The CRIES pain rating scale is also used for infants but is more specific to neonates (0-6 months) and measures crying, oxygen requirement, increased vital signs, and facial expressions, making it less applicable than the FLACC scale for this specific postoperative context.
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