Which of the following is a reason to perform a lumbar puncture on a child with a diagnosis of leukemia? Select all that apply.
1. Rule out meningitis.
2. Assess the central nervous system for infiltration.
3. Give intrathecal chemotherapy.
4. Determine increased intracranial pressure.
5. Stage the leukemia.
2, 3
rationale for each:
1. There is no need to perform a spinal tap to rule out meningitis unless the patient has symptoms of meningitis.
2. A lumbar puncture is done to determine whether the cancer cells have entered the CNS, but this would not be routine unless the child was symptomatic.
3. Chemotherapy can also be given through a lumbar puncture (spinal tap).
4. ICP would be considered if the child had symptoms of headache, nausea, forceful vomiting, blurred or double vision, drowsiness, or seizure; an LP might then be performed.
5. Leukemia is not staged.
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The nurse providing rapid triage and emergency treatment for clients in an effort to stabilize them knows that which is the primary purpose of the warm zone?
A) Decontamination B) Rapid triage C) Reverse triage D) Emergency medical treatment
The examination of a patient reveals a positive Rovsing's sign, which is abdominal pain felt in the right lower quadrant as you pressed deeply and evenly for 5 seconds
a. in her left lower quadrant (LLQ). c. directly over her ileocecal valve. b. in her right lower quadrant (RLQ). d. in her umbilical area.
All of the following statements about ethics are true EXCEPT
a. ethics are a philosophical discussion b. ethics deal with one's duties c. ethics deal with one's obligations d. ethics are the study of rightness of conduct
The nurse is collecting a single-voided specimen. The nurse is reviewing the procedure for the amount of urine needed for the specimen. How much urine is needed for the required tests?
A) 30–60 mL B) 60–90 mL C) 90–120 mL D) 120–150 mL