A child is being treated for acute lymphocytic leukemia (ALL). The laboratory report shows a white blood cell count of 7,000/mm3. The nursing care plan would include which of the following nursing diagnosis as a priority for this client?
1. Activity Intolerance
2. Risk for Infection
3. Impaired Gas Exchange
4. Readiness for Enhanced Immunization Status
2. Risk for Infection
Rationale:
In leukemia, the WBC's that are present are immature and incapable of fighting infection. The client may or may not have activity intolerance, but it is not the priority nursing diagnosis. Impaired gas exchange is not evident in this client. Children with cancer would not be receiving immunizations during treatment.
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a. Iron b. Zinc c. Calcium d. Magnesium
A client with Hodgkin's disease is at risk for impaired skin integrity due to pruritus. Which of the following interventions should a nurse perform to ensure the client's skin will remain intact throughout the care?
A) Place the client in high Fowler's position. B) Apply ice to the skin for brief periods. C) Avoid soap for bathing. D) Pull the client across sheets when changing positions.