ATI RN
ATI Nur235 Pediatrics Final Exam Questions
Extract:
Pediatric client with leukemia receiving chemotherapy, platelets 19,500/mcl, hemoglobin 11 g/dL, WBC 9,800/mcl.
Question 1 of 5
The nurse analyzes the laboratory values of a pediatric client with leukemia who is receiving chemotherapy. The nurse notes the following lab values: platelets 19,500/mcl (nl. 140,000-400,000/mcL), hemoglobin 11 g/dL (nl. 12-16 g/dL), white blood cell count 9,800/mcl (nl. 5,000-10,000/mcL). Based on these findings, which intervention should the nurse prioritize in the plan of care?
Correct Answer: D
Rationale: The correct answer is D: Initiating bleeding precautions. With platelets significantly low (19,500/mcL), the client is at high risk for bleeding. Platelets are essential for clotting. Initiating bleeding precautions involves preventing injuries that could lead to bleeding. Monitoring closely for signs of infection (
A) is important but not the priority in this case. Transfusing packed red blood cells (
B) would address the low hemoglobin level, not the platelet count. Administering intravenous immunoglobulins (
C) is not indicated based on the lab values provided.
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Question 2 of 5
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Question 5 of 5
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