HESI Case Studies: RN Pediatrics : Acute Lymphoblastic Leukemia (ALL)

HESI Case Studies: RN Pediatrics : Acute Lymphoblastic Leukemia (ALL) During intake, the triage nurse quickly realizes Roberto's parents speak limited English. Who is the best resource for the nurse to consult? Correct answer- Hospital interpreter What action should the nurse take after the specimen is obtained? Correct answer- Hold pressure for 5 minutes on all venipunctures until the CBC report is returned. Which action should the nurse take first? Correct answer- Examine the child for occult bleeding Based on Roberto's lab results, which factors place him at high risk for acute lymphoblastic leukemia (ALL)? Correct answer- Sex and WBC During the child's initial assessment, which assessment findings would be of concern to the nurse? Correct answer- - bone pain - fever - pallor - bruises on the legs Based on Roberto's presenting symptoms and history, which diagnostic test does the nurse anticipate as a priority? Correct answer- Bone marrow aspiration After the dx of ALL is confirmed, the HCP orders a lumbar puncture (LP). Which explanation by the nurse best describes the purpose of the LP? Correct answer- Determine whether cancer cells have spread to the spinal fluid. What additional information is vital for the nurse to obtain from Roberto's history? Correct answer- Roberto's immunization status. Which statement by the nurse demonstrates a therapeutic response to the parents' feelings of guilt? Correct answer- It is common for subtle changes in a child's health to go unnoticed by parents Which nursing interventions should the nurse implement to decrease the parents' distress? Correct answer- - Ask the family if they would like to meet with another family experiencing a similar situation. - Provide answers to the family's questions about the upcoming treatment plan.