Edition - Linnard-Palmer & Haile Coats -Cancer in
Children - (2025) comprehensive questions and
verified answers (Detailed & Elaborated) ACTUAL
EXAM 2025 TEST 100% Solved 2025!!
Acute pancytopenia - ANSWER-the severe reduction of thrombocytes,
which produce platelets, RBCs, and WBCs.
- WBCs (5,00 - 10,000)
- Granulocytes less than 500 (1,800-8,300)
- Platelets less than 20,000 (150,000-400,000)
- Retic count less than 1 % (0.5-2.0%)
.Aplastic Anemia - ANSWER-A disorder of the bone marrow characterized by the
depletion of all marrow elements. Production of marrow cells is decreased or
completely lacking, resulting in acute pancytopenia.
.Aplastic Anemia Prognosis - ANSWER-Poor - up 50% die within 6 months
Medical Treatment: Bone marrow transplant or immunotherapy
.Bone Marrow Aspiration
, (ATI: PN Nursing Care of Children, page 248-249) - ANSWER-the most definitive
diagnostic procedure, if leukemia is present, the specimen will show prolific
quantities of immature leukemic blast cells and protein markers indicating a
specific type of leukemia.
.Bone Marrow Aspiration - Nursing Actions
(ATI: PN Nursing Care of Children, page 248-249) - ANSWER-- assist with
procedure - local anesthetic cream 45 minutes to 1 hour before or unconscious
sedation; conscious sedation is induced using a general anesthetic (propofol)
Positioning depends on access site, posterior/anterior iliac crest is most
common, but tibia can be used in infants for easier access and to hold infant
.Bone Marrow Aspiration - Postprocedure
(ATI: PN Nursing Care of Children, page 248-249) - ANSWER-- apply pressure to
site, then apply pressure dressing
- monitor vital signs frequently
- monitor for manifestations of bleeding and infection for 24 hr.
.Causes? No single cause of childhood cancer has been identified as the
development of cancer is complex and multifaceted. - ANSWER-The concept of
"ecogenetics" or "multifactorial etiology" is more acceptable because it
addresses the COMBINATION of exposure to toxic environmental carcinogenic
substances WITH variations in genetic factors
.Childhood cancer is considered rare with less than ___% of all cancers across
the life span occurring in children. - ANSWER-1%
.Common Oncological Disorders - ANSWER-- Aplastic Anemia