Question

A child with leukemia is complaining of nausea. The nurse suspects that the nausea is related to the chemotherapy regimen. The nurse, concerned about the child's nutritional status, should offer which item during this episode of nausea?

1) Cool, clear liquids
2) Low-protein foods
3) Low-calorie foods
4) The child's favorite foods

Answer 1

To help a child with leukemia and chemotherapy-related nausea, cool, clear liquids should be offered to ease nausea and maintain hydration. An ANC of 1900 cells per microliter is typically safe to proceed with chemotherapy. Acute myelogenous leukemia may cause impaired production of erythrocytes and lymphocytes.

Step-by-step explanation:

A child with leukemia who is experiencing nausea related to their chemotherapy regimen would best be supported nutritionally by offering cool, clear liquids during episodes of nausea. These are easier to take in and are less likely to exacerbate the nausea than heavier foods or full meals. Furthermore, cool, clear liquids such as water, electrolyte beverages, or clear broths can help maintain hydration, which is crucial for the patient's overall health and recovery.

Regarding the chemotherapy treatment, if a patient undergoing chemotherapy has an absolute neutrophil count (ANC) of 1900 cells per microliter, healthcare providers would likely proceed with the treatment. An ANC above 1500 cells per microliter is generally considered safe for continuing chemotherapy, as it indicates that while the white blood cell count may be reduced, the patient's immune system is still capable of handling potential infections.

As for a patient with acute myelogenous leukemia, it is expected that they would experience impaired production of both erythrocytes and lymphocytes due to the disease primarily affecting the myeloid cells that give rise to various types of blood cells, including red blood cells and components of the immune system.