Week 8-11 Flashcards
Leukaemia is diagnosed based on:
• Blood counts and bone marrow aspiration.
Most important prognostic indicator for leukaemia:
• Initial leukocyte count
Child abuse risk factors
- Social & environmental factors
- Poverty
- Homelessness
Legislation covering child abuse
In 2009 the legislation that governs mandatory report of child sexual abuse became part of the Children and Community Services Act 2004.
Leukaemia is characterised by:
• Leukocytes filling the red bone marrow and immature WBCs flood into the bloodstream. Thus crowding out other blood cell lines causing severe anaemia and bleeding problems.
Symptoms of leukaemia:
• fever • weight loss • bone pain
The most common causes of death from Leukaemia are:
• internal haemorrhage • overwhelming infections
Which nursing diagnosis is highest-priority for a child undergoing chemotherapy who is experiencing N&V?
- Fluid and Electrolyte Imbalance
- Body Image Disturbances
- Alterations in Skin Integrity
- Alterations in Nutrition
- Fluid and Electrolyte Imbalance
The nurse is assessing an adolescent. The nurse notes that the teen has bloodshot eyes and dilated pupils, and has lost weight. Based on her assessment, the nurse should suspect that the teen:
- Is abusing drugs.
- Is considering suicide.
- Has started smoking.
- Is intoxicated.
- Is abusing drugs.
A child has been seen 6 times in the clinic in the last month because of “severe vomiting”. The child’s physical exam is normal, electrolytes are within normal limits, and the child is gaining weight appropriately. The mother tells the nurse that she is very concerned about her child’s health. Based on this info, the child should be further eval. for which of the following conditions?
- Munchausen’s syndrome by Proxy.
- Sexual abuse.
- Physical neglect.
- Physical abuse.
- Munchausen’s syndrome by Proxy.
An adolescent experiencing status asthmatics was rushed to the Emergency Department by ambulance. The parents arrive and ask to see their child. The triage nurse at the reception desk knows that the adolescent was pronounced dead on arrival. At this moment, the triage nurse’s best intervention is:
- Ask the parents to please take a seat in the waiting room.
- Remain behind the desk, and tell the parents, “I’m sorry, but your child didn’t make it.”
- Immediately escort the parents to a quiet, private room.
- Tell the parents that they must wait because only the doctor can talk with them.
- Immediately escort the parents to a quiet, private room.
A hospice nurse makes an initial vista to the home of a terminally ill child to meet the family members and explore the parents’ wishes. Which question should the nurse ask first?
- How do you feel about interventions that will prolong your child’s life?
- Do you want life-saving interventions withheld?
- Will you consider a do not resuscitate (DNR) or allow natural death (AND) order?
- What can I do for you and your family?
- What can I do for you and your family?
Common clinical manifestations of cancer
(Vary by type and location):
- Pain • Cachexia • Anaemia
- Infections • Bruising
- Neurologic • Palpable mass
Known etiologies of cancer (variable):
• Single or combination of factors
- External stimuli
- Innate immune system and gene abnormalities
- Chromosomal abnormalities
- Alterations in cellular growth
Provide brief information about diagnostic tests for cancer:
- CBC and differential
- Bone marrow aspiration
- Bone marrow biopsy
- Lumbar puncture
- Radiographic examination
