HESI Case Studies: RN Pediatrics: Acute Lymphoblastic Leukemia questions with correct answers

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.