HESI Case Studies: RN Pediatrics : Acute Lymphoblastic Leukemia (ALL)
Questions and Answers Graded A+
During intake, the triage nurse quickly realizes What additional information is vital for the nurse
Roberto's parents speak limited English. Who is to obtain from Roberto's history? -
the best resource for the nurse to consult? - ANSWER -Roberto's immunization status.
ANSWER -Hospital interpreter
Which statement by the nurse demonstrates a
What action should the nurse take after the therapeutic response to the parents' feelings of
specimen is obtained? - ANSWER -Hold guilt? - ANSWER -It is common for subtle
pressure for 5 minutes on all venipunctures until changes in a child's health to go unnoticed by
the CBC report is returned. parents
Which action should the nurse take first? - Which nursing interventions should the nurse
ANSWER -Examine the child for occult implement to decrease the parents' distress? -
bleeding ANSWER -- Ask the family if they would like
to meet with another family experiencing a similar
situation.
Based on Roberto's lab results, which factors - Provide answers to the family's questions about
place him at high risk for acute lymphoblastic the upcoming treatment plan.
leukemia (ALL)? - ANSWER -Sex and
WBC
The nurse is teaching the parents about the
implanted port. Which statement by the nurse is
During the child's initial assessment, which correct regarding the primary purpose of the
assessment findings would be of concern to the port? - ANSWER -It is to increase the
nurse? - ANSWER -- bone pain child's quality of life.
- fever
- pallor
- bruises on the legs The nurse obtains a volumetric pump for
chemotherapy infusion. What is the main purpose
in using a volumetric pump for chemotherapy
Based on Roberto's presenting symptoms and infusions? - ANSWER -Prevents the risk of
history, which diagnostic test does the nurse blood reflux in the port
anticipate as a priority? - ANSWER -Bone
marrow aspiration
The nurse is planning care based on the
prescribed chemotherapeutic agent. Before
After the dx of ALL is confirmed, the HCP orders initiating treatment, the nurse understands that
a lumbar puncture (LP). Which explanation by chemotherapeutic agents are classified according
the nurse best describes the purpose of the LP? to which criteria? - ANSWER -Mechanism
- ANSWER -Determine whether cancer of action
cells have spread to the spinal fluid.
Based on the diagnosis, the nurse anticipates the
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Questions and Answers Graded A+
During intake, the triage nurse quickly realizes What additional information is vital for the nurse
Roberto's parents speak limited English. Who is to obtain from Roberto's history? -
the best resource for the nurse to consult? - ANSWER -Roberto's immunization status.
ANSWER -Hospital interpreter
Which statement by the nurse demonstrates a
What action should the nurse take after the therapeutic response to the parents' feelings of
specimen is obtained? - ANSWER -Hold guilt? - ANSWER -It is common for subtle
pressure for 5 minutes on all venipunctures until changes in a child's health to go unnoticed by
the CBC report is returned. parents
Which action should the nurse take first? - Which nursing interventions should the nurse
ANSWER -Examine the child for occult implement to decrease the parents' distress? -
bleeding ANSWER -- Ask the family if they would like
to meet with another family experiencing a similar
situation.
Based on Roberto's lab results, which factors - Provide answers to the family's questions about
place him at high risk for acute lymphoblastic the upcoming treatment plan.
leukemia (ALL)? - ANSWER -Sex and
WBC
The nurse is teaching the parents about the
implanted port. Which statement by the nurse is
During the child's initial assessment, which correct regarding the primary purpose of the
assessment findings would be of concern to the port? - ANSWER -It is to increase the
nurse? - ANSWER -- bone pain child's quality of life.
- fever
- pallor
- bruises on the legs The nurse obtains a volumetric pump for
chemotherapy infusion. What is the main purpose
in using a volumetric pump for chemotherapy
Based on Roberto's presenting symptoms and infusions? - ANSWER -Prevents the risk of
history, which diagnostic test does the nurse blood reflux in the port
anticipate as a priority? - ANSWER -Bone
marrow aspiration
The nurse is planning care based on the
prescribed chemotherapeutic agent. Before
After the dx of ALL is confirmed, the HCP orders initiating treatment, the nurse understands that
a lumbar puncture (LP). Which explanation by chemotherapeutic agents are classified according
the nurse best describes the purpose of the LP? to which criteria? - ANSWER -Mechanism
- ANSWER -Determine whether cancer of action
cells have spread to the spinal fluid.
Based on the diagnosis, the nurse anticipates the
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