Chapter 48
Understanding Childhood Leukemia
Test your knowledge on childhood leukemia and the nursing care associated with its treatment! This quiz covers key symptoms, diagnostic tests, nursing diagnoses, and patient care strategies relevant to pediatric oncology.
- 11 engaging multiple-choice questions
- Focus on childhood leukemia symptoms and management
- Evaluate your understanding of nursing practices
The nurse notes that a child’s gums bleed easily and he has bruising and petechiae on his extremities. What laboratory values are consistent with these symptoms?
Platelet count of 19,000/mm3
Prothrombin time of 11 to 15 seconds
Hematocrit of 34
Leukocyte count of 14,000/mm3
The nurse understands that the type of precautions needed for children receiving chemotherapy is based on which actions of chemotherapeutic agents?
Gastrointestinal upset
Bone marrow suppression
Decreased creatinine level
Alopecia
The nurse should base a response to a parent’s question about the prognosis of acute lymphoblastic leukemia (ALL) on the knowledge that
Leukemia is a fatal disease, although chemotherapy provides increasingly longer periods of remission
Research to find a cure for childhood cancers is very active.
The majority of children go into remission and remain symptom free when treatment is completed.
It usually takes several months of chemotherapy to achieve a remission.
A child with a history of fever of unknown origin, excessive bruising, lymphadenopathy, anemia, and fatigue is exhibiting symptoms most suggestive of
Ewing sarcoma
Wilms’ tumor
Neuroblastoma
Leukemia
What is a priority nursing diagnosis for the 4-year-old child newly diagnosed with leukemia?
Ineffective Breathing Pattern related to mediastinal disease
Risk for Infection related to immunosuppressed state
Disturbed Body Image related to alopecia
Impaired Skin Integrity related to radiation therapy
A nurse determines that parents understood the teaching from the pediatric oncologist if the parents indicate that which test confirms the diagnosis of leukemia in children?
Complete blood cell count (CBC)
Lumbar puncture
Bone marrow biopsy
Computed tomography (CT) scan
Which statement, if made by a nurse to the parents of a child with leukemia, indicates an understanding of teaching related to home care associated with the disease?
�Your son’s blood pressure must be taken daily while he is on chemotherapy.”
�Limit your son’s fluid intake just in case he has central nervous system involvement.”
�Your son must receive all of his immunizations in a timely manner.”
�Your son’s temperature should be taken frequently.”
What is the most appropriate nursing action when the nurse notes a reddened area on the forearm of a neutropenic child with leukemia?
Massage the area.
Turn the child more frequently.
Document the finding and continue to observe the area.
Notify the physician.
What is the nurse’s best response to a mother whose child has a diagnosis of acute lymphoblastic leukemia and is expressing guilt about not having responded sooner to her boy’s symptoms?
�You should always call the physician when your child has a change in what is normal for him.”
�It is better to be safe than sorry.”
�It is not uncommon for parents not to notice subtle changes in their children’s health.”
�I hope this delay does not affect the treatment plan.”
What should the nurse teach parents about oral hygiene for the child receiving chemotherapy?
Brush the teeth briskly to remove bacteria.
Use a mouthwash that contains alcohol.
Inspect the child’s mouth daily for ulcers.
Perform oral hygiene twice a day.
What fluid is the best choice when a child with mucositis asks for something to drink?
Hot chocolate
Lemonade
Popsicle
Orange Juice
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