Case Study: acute lymphoid leukemia Tilisha Brezeale Todd is a 3 yr old child who has acute lymphoid leukemia.

He is being seen in the oncology clinic for chemotherapy. 1. Todd asks the nurse, what is wrong with my blood? The nurses response should be based on knowledge that leukemia results in increased: a. Platelets b. Red blood cells c. Mature white blood cells d. Immature white blood cells 2. Todd has some oral ulcers. (stomatitis). His parents ask about oral hygiene. The nurse should suggest which of the following: a. Avoid brushing the teeth until the ulcers heal b. Use frequent mouthwashes with normal saline c. Use frequent mouthwashes with hydrogen peroxide d. Cleanse teeth with lemon glycerin swabs 3. Todd has recently had several upper respiratory infections. Which of the following should the nurse recommend to decrease his risk of infection? a. Dress him warmly b. Use good handwashing c. Isolate him from others d. Keep him inside as much as possible 4. The chemotherapeutic agents that Todd is receiving usually cause nausea and vomiting. Which of the following is an appropriate nursing intervention related to this? a. Discourage oral intake of fluids b. Administer antiemetic before chemotherapy begins c. Administer antiemetic as soon as symptoms begin d. Explain to Todd and his parents that the nausea and vomiting can not be prevented.