Take note of this vital information because this is an NCLEX™ test tip. mso-hansi-font-family:Calibri; A nurse is caring for a client with leukemia who is undergoing chemotherapy. Writing questions helps to clarifymeanings, reveal relationships, establish continuity, and strengthenmemory.

A client with leukemia will go home with a Groshong catheter placed in the right subclavian vein to use for long-term administration of chemotherapy. line-height:115%; All of these tests together provide the diagnosis and guide the treatment plan. Priority nursing concepts for a patient with Leukemia are cellular regulation, infection control, and clotting. You may or may not have heard of this before nursing school, but we’re gonna break it down for you and give you the most important things you need to know. Your priority nursing concepts for a pediatric patient with leukemia are cellular regulation, infection control and comfort. Due to this overproduction, there is a crowding out of the other types of blood cells inside the bone marrow. NCLEX® and NCLEX-RN® are Registered Trademarks of the NCSBN, HESI® is a registered trademark of Elsevier Inc., TEAS® and Test of Essential Academic Skills™ are registered trademarks of Assessment Technologies Institute, CCRN® is a Registered trademark of the AACN; all of which are unaffiliated with, not endorsed by, not sponsored by, and not associated with NRSNG, LLC or TazKai, LLC and its affiliates in any way.
Bone pains would feel like they are bursting at the joint. mso-footer-margin:.5in; Low blood volume will also affect the gastrointestinal tract, leading to decreased appetite which will then result in weight loss. The goal here is to keep the patient in remission and prevent a relapse.


Semin Oncol Nurs. Review: Spend at least ten minutes every week reviewing all your previous notes. 2. So the peak onset for leukemia is usually ages 2-5 yrs.

The first test that will be done is a CBC w/Differential. font-size:11.0pt; The story of diagnosis tends to be that a parent brings a child in to be seen with the history of the kid being tired, having a decreased appetite and having had a couple of back to back infections with fevers that just don’t seem to want to go away. They’ll have weight loss, fevers, and frequent infections, as well as night sweats. This lesson is part of the NURSING.com Nursing Student Academy. mso-generic-font-family:swiss; A nurse is performing the initial assessment of a child with a history of acute leukemia who was brought into the emergency department. child with leukaemia. So, like I said, Leukemia is a cancer of the bone marrow. Nursing care for a child with leukemia is all about managing side effects and complications of treatment. Two most common for peds are ALL and AML, Accounts for 20% of childhood leukemia case, Proliferation of abnormal, undeveloped WBCs, Unable to function in infection control / immunity. {mso-style-unhide:no; You can also see here how the shift towards excessive production of white blood cells can also hinder the production of red blood cells and platelets. Happy Nursing! […] The primary purpose of chemotherapy is to target and kill those fast-growing cells. How can I apply them? Umbrella term for cancers of bone marrow and lymphatic system (liquid tumor). The client’s body is demonstrating systemic inflammatory response syndrome (SIRS). How do they fit in with what I already know?

This procedure is a form of restart button to prompt the bone marrow to begin the process of creating normal red blood cells and white blood cells. Prepare for/assist with leukemia-specific treatments such as chemotherapy, radiation, and/or bone marrow transplant. For the patient with leukemia the initial CBC will show either an increase or decrease in WBC, a decrease in RBC and decreased platelets – which we are expecting based on the clinical presentation we just talked about. There’s lymphocytic leukemia which affects the lymphoid cells, and myelogenous leukemia which affects these myeloid cells.