a child diagnosed with a soft tissue tumor is being treated with chemotherapy prior to administering the chemotherapy which laboratory test should the

ATI RN

RN Nursing Care of Children 2019 With NGN

1. A child diagnosed with a soft tissue tumor is being treated with chemotherapy. Prior to administering the chemotherapy, which laboratory test should the nurse monitor to determine if the child has any capability of fighting infections?

A. Hemoglobin
B. Red blood cell count
C. Platelets
D. Absolute neutrophil count (ANC)

Correct answer: D

Rationale: The Absolute Neutrophil Count (ANC) is crucial for determining the child's ability to fight infections. Neutrophils play a key role in combating bacterial infections. Monitoring the ANC is essential before administering chemotherapy, as a low ANC indicates an increased risk of infection. Hemoglobin, red blood cell count, and platelets are important for assessing oxygen-carrying capacity, anemia, and clotting function, respectively, but they do not directly reflect the child's capability to fight infections.

2. Which situation denotes a nontherapeutic nurse-patient-family relationship?

A. The nurse is planning to read a favorite fairy tale to a patient
B. During shift report, the nurse is criticizing parents for not visiting their child
C. The nurse is discussing with a fellow nurse the emotional draw to a certain patient
D. The nurse is working with a family to find ways to decrease the familyâ€™s dependence on health care providers

Correct answer: B

Rationale: Criticizing parents or making negative comments about their involvement is nontherapeutic and can damage the nurse-patient-family relationship.

3. How is family systems theory best described?

A. The family is viewed as the sum of individual members
B. A change in one family member cannot create a change in other members
C. Individual family members are readily identified as the source of a problem
D. When the family system is disrupted, change can occur at any point in the system

Correct answer: D

Rationale: Family systems theory views the family as a whole, where changes in one member affect the entire system, and changes can occur at any point within the system.

4. After surgery yesterday for gastroesophageal reflux, the nurse finds that the infant has somehow removed the nasogastric (NG) tube. What nursing action is most appropriate to perform at this time?

A. Notify the healthcare provider.
B. Insert a new NG tube for feedings.
C. Replace the NG tube to maintain gastric decompression.
D. Leave the NG tube out as it may have been in long enough.

Correct answer: A

Rationale: The most appropriate action for the nurse to take in this situation is to notify the healthcare provider immediately. This is important as the removal of the NG tube can disrupt postoperative care, especially in terms of maintaining gastric decompression. Inserting a new NG tube without practitioner direction can be unsafe and is not within the nurse's scope of practice. Similarly, replacing the NG tube or leaving it out should be decided by the healthcare provider to ensure the infant's safety and appropriate postoperative care.

5. The mother of a child with cognitive impairment calls the nurse because her son has been gagging and drooling all morning. The nurse suspects foreign body ingestion. What physiologic occurrence is most likely responsible for the presenting signs?

A. Gastrointestinal perforation may have occurred.
B. The object may have been aspirated.
C. The object may be lodged in the esophagus.
D. The object may be embedded in the stomach wall.

Correct answer: C

Rationale: The symptoms of gagging and drooling suggest that the foreign object is likely lodged in the esophagus. This can cause significant discomfort and potential complications, requiring immediate medical evaluation.