A child has been diagnosed with a Wilms' tumor, and is being treated with chemotherapy. Prior to administering the chemotherapy, the nurse will determine if this child has any infection-fighting capability by monitoring the:
1. Hemoglobin.
2. Red blood cell count.
3. Absolute neutrophil count (ANC).
4. Platelets.
3
Rationale:
1. Hemoglobin indicates oxygen-carrying capacity, not immune response.
2. Red blood cell count has no correlation with immune function.
3. The absolute neutrophil count uses both the segmented (mature) and bands (immature) neutrophils as a measure of the body's infection-fighting capability.
4. Platelets are associated with clotting, not immune function.
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The nurse is preparing to send a child with cancer for a radiation treatment. Which medication should the nurse provide to premedicate the child for this procedure?
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