LEUKEMIA NCLEX EXAM REVIEW QUESTIONS AND ANSWERS + RATIONALES A+ GRADED

LEUKEMIA NCLEX EXAM REVIEW QUESTIONS AND ANSWERS + RATIONALES A+ GRADED "The client diagnosed with leukemia has central nervous system involvement. Whichinstructions should the nurse teach? "1.Sleep with the head of the bed elevated to prevent increased intracranial pressure. 2.Take an analgesic medication for pain only when the pain becomes severe. 3.Explain that radiation therapy to the head may result in permanent hair loss. 4.Discuss end-of-life decisions prior to cognitive deterioration" - ANS-"Correct: 3 1.Sleeping with the head of the bed elevatedmight relieve some intracranial pressure, but it will not prevent intracranial pressure from occurring.2.Analgesic medications for clients with cancer are given on a scheduled basis with a fast-acting analgesic administered PRN for break-through pain.3.Radiation therapy to the head and scalp area is the treatment of choice for central nervous system involvement of any cancer. If the radiation therapy destroys the hair follicle, the hair will not grow back.4.Cognitive deterioration does not usually occur" The nurse analyzes the laboratory values of a child with leukemia who is receiving chemotherapy . The nurse notes that the platelet count is 20,000/ul. Based on the laboratry result, which intervention will the nurse document in the plan of care? 1 Mointor closely for signs of infection 2. Mointor the temperature every 4hours 3. Initate prptective isolation precautions 4. Use soft small toothbrush for mouth care - ANS-Correct Ans 4 If a child is severely thrombocytopenic and has a platelet count less than 20,000/ul, bleeding precautions need to be initated because of increased risk of bleeding or hemorrhage. Options 1,2,3 are related to the prevention of infection rather than bleeding "A client with acute leukemia is admitted to the oncology unit. Which of the following would be most important for the nurse to inquire? "a. ""Have you noticed a change in sleeping habits recently?"" b. ""Have you had a respiratory infection in the last 6 months?"" c. ""Have you lost weight recently?"" d. ""Have you noticed changes in your alertness?""" - ANS-