Which nursing diagnosis is a priority for the 4-year-old child newly diagnosed with leukemia?
a. Ineffective breathing pattern related to me-diastinal disease
b. Risk for infection related to immunosup-pressed state
c. Disturbed body image related to alopecia
d. Impaired skin integrity related to radiation therapy
B
Leukemia is characterized by the proliferation of immature white blood cells, which lack the ability to fight infection. An ineffective breathing pattern related to mediastinal disease would apply to a child with non-Hodgkin's lymphoma or any cancer involving the chest area. Disturbed body image related to alopecia is a nursing diagnosis related to chemotherapy, but it is not of the highest priority. Not all children have a body image disturbance as a result of alopecia, especially not preschoolers. This would be of more concern to an adolescent. Radiation therapy is not a treatment for leukemia.
You might also like to view...
Which of these exercises, if taught to a client prior to surgery, can BEST prevent development of postoperative respiratory complications?
a. turning c. deep breathing and spirometry b. coughing d. splinting
The nurse exercises good judgment in assigning an appropriate administration schedule for the client's furosemide 40 mg by mouth daily when the dose is scheduled for:
a. 4 a.m. c. 8 p.m. b. 8 a.m. d. 12 midnight.
A client has been prescribed diltiazem (Cardizem). The nurse should instruct the client to notify the physician if which side effects occur? (Select all that apply.)
Note: Credit will be given only if all correct choices and no incorrect choices are selected. 1. Systolic blood pressure is less than 90 mm Hg. 2. Dizziness occurs when standing up quickly. 3. Heart rate is less than 60 beats per minute. 4. Blood glucose increases. 5. Hypoglycemia
The nurse, caring for a client with severe burns, realizes that the client's care will progress through specific periods of treatment EXCEPT:
1. acute period. 2. emergent period. 3. rehabilitation period. 4. stabilization period.