The nurse is caring for a child with congestive heart failure. Which of the following indicates the child and her parents are following the prescribed medical regimen?


•Bone marrow suppression results in anemia from decreased RBC production. The patient's hemoglobin and hematocrit are abnormally low, leading to symptoms of anemia such as fatigue, pallor, tachycardia and dyspnea on exertion.

•With ALL, bone marrow overproduces immature lymphocytes and soon becomes unable to continue normal production of other blood components. ALL is the most common type of leukemia in children.

•Vitamin K injection is not indicated because the patient has a low platelet count (thrombocytopenia). Vitamin K affects the synthesis of clotting factors, not platelets.

•Reverse isolation and restriction of fresh fruits and vegtables are interventions for a patient that is leukopenic. The patient's WBC count is within normal limits.

•WBC: 4,000-10,000 cells/ml
•Hemoglobin: 14-18 g/dl (men), 12-16 g/dl (women)
•Hematocrit: 42-52% (men), 37-47% (women)
•Platelets: 150,000-400,000

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