Question

Chapter 46 Nursing Care of the Child With Alteration in Cell Regulation/Hematologie or Neoplastie Disorder 1. Carlos Jimene, 4 years old, is brought to the physician's office by his mother for a preschool physical. While the nurse is taking a history on Carlos she notes the following Clos does not Listen to requests by mother or the Carlos' mother appears very dir t and frustrated with her son and Carlos ha paller of the skin Mrs. Jimene ele the nurse that the family has recently moved from a Texas that Carlos has suffered with bouts of creditboa since he was a year old, and that Carlos often spent time with his grandparents in Juarez, Mexico (Learning Objectives 1, 4, 5 and 6) A. 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

ANSWER- A) nurse should determine duration, frequency , pattern and severity of diarrhoea.

• Nurse should ask about stool characteristics such as stool is watery, contain blood and fatty stool.
• Should ask about any previous history of gastrointestinal disease.
• should do physical examination, examine color of eyes, texture of skin , palpate the abdomen

B) Laboratory test-

• CBC (complete blood count)- to test the haemoglobin level in body, causes of diarrhoea
• Stool test (stool for occult blood)- to detect blood in stool , RBC
• Sigmoidoscopy or colonoscopy
• ultrasonography

C) Nursing diagnosis-

• fluid volume deficit related to disease condition
• imbalance nutrition less than body requirement related to disease condition
• hyperthermia related to disease condition
• impaired skin integrity related to fluid volume deficit