ATI RN Pediatrics 2023 | Nurselytic

Questions 132

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ATI RN Pediatrics 2023 Questions

Extract:

4-year-old child receiving treatment for acute lymphoblastic leukemia


Question 1 of 5

A nurse is reviewing the complete blood count results for a 4-year-old child who is receiving treatment for acute lymphoblastic leukemia. Which of the following findings should indicate to the nurse that the treatment is having a therapeutic effect?

Correct Answer: C

Rationale: The correct answer is C: RBC count 5/mm3 (4 to 5.5/mm3). In acute lymphoblastic leukemia, the bone marrow is infiltrated with malignant lymphoblasts, leading to decreased production of normal blood cells. A decrease in RBC count indicates response to treatment as it suggests a reduction in the number of abnormal cells crowding the bone marrow. The other choices are incorrect because they do not directly reflect the therapeutic effect of treatment in leukemia.
Choice A indicates low hemoglobin due to decreased RBC production.
Choice B indicates elevated WBC count due to leukemia cells.
Choice D indicates low platelet count, which is common in leukemia but not a direct indicator of therapeutic effect.

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