The nurse is providing care to a pediatric client who is receiving chemotherapy to treat acute lymphocytic leukemia (ALL)
Which nursing diagnoses should the nurse include in the plan of are based on the side effects associated with the treatment? Select all that apply. 1. Risk for Injury
2. Impaired Skin Integrity
3. Risk for Electrolyte Imbalance
4. Risk for Infection
5. Sleep Deprivation
1, 2, 3, 4
Explanation:
1. Risk for Injury is an appropriate nursing diagnosis for a pediatric client due to the potential hemorrhagic cystitis, a common side effect for chemotherapy.
2. Impaired Skin Integrity is an appropriate nursing diagnosis for the pediatric client due to mouth sores, a common early side effect of chemotherapy.
3. Nausea and vomiting are common early side effects of chemotherapy; therefore, Risk for Electrolyte Imbalance is an appropriate nursing diagnosis for this pediatric client.
4. Risk for Infection is an appropriate nursing diagnosis as chemotherapy due to bone marrow suppression.
5. Sleep Deprivation is not a nursing diagnosis related to the administration of chemotherapy for a pediatric client.
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The Omnibus Budget Reconciliation Act (OBRA) did away with certain requirements for nursing assistants
True False
The parents of a 7-month-old child with an infection ask the nurse about how to treat their child's fever. After providing teaching, the parents voice understanding with which statements? Select all that apply
A) "Unless my child develops a fever over 102.2°F , I don't need to make an appointment with the physician." B) "Having a temperature over 38°C puts my child at risk for the infection spreading to the bloodstream." C) "I can use acetaminophen to help with the symptoms of the infection but it won't get rid of the infection." D) "Even though people get frightened, fevers are not a bad thing during an infection unless it gets too high." E) "Any fever is dangerous and can cause serious damage to brain cells if it goes on too long."
A patient newly diagnosed with dementia due to Parkinson disease asks what causes the disorder. What should the nurse explain is the etiology of this disorder?
1. Death of neurons 2. Presence of Lewy bodies 3. Inheritance of a dominant gene 4. Inappropriately treated traumatic brain injury (TBI)