Question

A child is diagnosed with stage IV neuroblastoma and has undergone abdominal surgery to remove the tumor. He is now receiving chemotherapy. Which nursing diagnosis would be most important?

A) Risk for infection related to chemotherapy
B) Impaired skin integrity related to abdominal surgery
C) Grieving related to advanced disease and poor prognosis
D) Imbalanced nutrition related to adverse effects of chemotherapy

Answer 1

The primary nursing diagnosis for a child undergoing chemotherapy for stage IV neuroblastoma is 'Risk for infection', due to the immunosuppressive effects of chemotherapy treatment.

Step-by-step explanation:

The most important nursing diagnosis for a child with stage IV neuroblastoma who has undergone abdominal surgery and is receiving chemotherapy would be A) Risk for infection related to chemotherapy. Chemotherapy is known to destroy leukocytes, which are an essential part of the body's immune system, making patients more susceptible to infections. As such, careful monitoring and preventive measures are critical to protect the child from potential infections. The Absolute Neutrophil Count (ANC) helps assess the patient's risk of infection. An ANC of 1900 cells per microliter, while at the lower end of normal, may still allow for the continuation of chemotherapy, but the healthcare team would proceed with caution and monitor the patient closely.