Question

Chapter 46. 1. Carlos Jimene physical. While them Listen to roque R e r Nursing Care of the Child with Alteration in Cellular Plato. Hematolor Neoplastie Disorder s o ld is brought to the physician's offee by his mother for a preschool while the nurse is taking a history on Carlos she notes the following: Carlos does not br y ts by his mother or the murse Carlos mother appears very distraught and ed with her son and Carlos Maspallar of the skin. ir Jimene ells the nurse that the family has recently moved from El Paso, Texas; that has suffered with bouts of scidido since he was a year old, and that Carlos often fime with his grandparents in Juarez, Mexico. (Leaming Objectives 1, 4, 5, and 6) Carlos has suffered with bouts 1. What other information should the nurse know to gather about Carlos? B. What laboratory tests would the nurse expect to be ordered for this child? C. What nursing diagnoses might the nurse use in a care plan for Carlos?

Answer 1

Neoplastic Disease is an abnormal growth of cells , also known as tumor.

Causes and Risk Factors :

• DNA mutations / Genetics
• Age
• Hormones
• Smoking and drinking
• Obesity
• Sun exposure
• Immune disorder
• Viruses

Symptoms :

• Anaemia
• Diarrhoea
• Bloody stools
• Persistent fatigue
• Shortness of breath
• lesions and skin masses

In the above scenario Carl

os Jiminez 4 years old boy is suffering from Neoplastic disease, with alteration in cellular haematology, severe diarrhoea since 1 year of his birth and is reluctant to hear both Nurses and Mothers words.

A. What other information should the Nurse know to gather about Carlos.

Answer : Family history of Neoplastic diseases

Genetical history

Maternal nutrition during congenital period

Drinking and smoking habits of mother

Family history of immune disorders

Frequency of stools and nature of stools in Carlos

Dietary habits and interests to know about anaemia.

B. What Laboratory tests the Nurse expected to be ordered for the child ?

Blood tests and Blood biopsies to find out the circulatory DNA present in the blood.

CT Scan, MRI Scan, PET Scan

Ultrasounds, X rays, Endoscopies

Nuclear imaging

Angiography

Complete Blood Count

C. What nursing diagnoses can Nurse use in Carlos care plan.

Inability to cope up with the disease mechanism

Alteration in Bowel pattern related to Neoplasty

Maternal anxiety related to the child condition

Altered nutrition less than body requirements

Impaired tissue integrity.

Hopes these answers helps you.