This preview shows page 1. Sign up to view the full content.
Unformatted text preview: the fontanels have closed, nausea,
excessive vomiting, diplopia, and headaches become pronounced, with headaches becoming more prevalent in older children.
The confirmatory test for leukemia is microscopic examination of bone marrow obtained by bone marrow
aspirate and biopsy. A lumbar puncture may be done to look for blast cells in the spinal fluid that indicate central nervous system
disease. The white blood cell count may be normal, high, or low in leukemia. An altered platelet count occurs as a result of the
disease but also may occur as a result of chemotherapy and does not confirm the diagnosis.
The risk of injury to fragile mucous membranes is so high in the child with leukemia that oral, tympanic, or
axillary temperature should be taken. Rectal abscesses can occur easily to damaged rectal tissue. No rectal temperatures should
be taken. In addition, oral temperature taking should be avoided if the child has oral ulcers. Options 2, 3, and 4 are appropriate
measures to prevent infection. 13 182. Leukemia
For the hospitalized neutropenic child, flowers or plants sh...
View Full Document
- Spring '14