ATI RN
ATI Nur 270 Pediatrics GI Questions
Extract:
A school-age child who has leukemia. Child is awake and alert, but not talkative. Ongoing upper respiratory infection for the last 2 months. Leukemia in remission for over a year. Bruising noted on shoulder, thighs, and back. Breath sounds clear with subcostal retractions. Oxygen saturation is 92% on room air. Skin is pale and petechiae noted on trunk and thighs. Child states, 'I feel like I can't breathe.' Diagnostic results: WBC count 15,000/mm, Hgb 10 g/dL, Hct 32%.
Question 1 of 5
A nurse is caring for a school-age child who has leukemia. Which of the following assessment findings should the nurse report to the provider? Select the 5 findings that should be reported to the provider.
Correct Answer: A,B,D,E,F
Rationale: The correct answer includes assessment findings that are crucial in monitoring a child with leukemia. A: WBC count is important for evaluating the child's immune status. B: Hemoglobin levels are essential for assessing oxygen-carrying capacity. D: Breath sounds are vital to detect any respiratory complications. E: Oxygen saturation indicates how well the child is oxygenating. F: Retractions suggest respiratory distress, which can be critical in leukemia. Reporting these findings promptly ensures early intervention.
Choices C and G are not directly related to leukemia or the child's immediate health status, making them less urgent to report.
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