Acute Lymphoblastic Leukemia Case Study


Prepare your students for licensure and real-world practice with this salient scenario that contextualizes nursing care and priority setting with a pediatric patient diagnosed with ALL.

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Case Study Scenario:

April Peters is a 10-year-old female with acute lymphoblastic leukemia (ALL) who presents to the emergency department with a temperature of 38.4 degrees C. (101.2 F.) and a complaint of a sore throat. She has been receiving chemotherapy since her diagnosis three months ago. April’s mother reports that her fever has been unresponsive to acetaminophen and she is two days out from her most recent chemotherapy treatment. No reports of nausea, vomiting, or diarrhea noted. A CBC is drawn immediately from April’s central venous access device (CVAD) and April is admitted directly to the pediatric oncology unit where you are the nurse responsible for her care. She weighs 57 lbs. (25.9 kg), is 51.5 inches (128.8 cm.) and has NKDA.

Key Components:

1. Develop Critical Thinking

  • By applying and using knowledge most important to practice

2. Develop Clinical Reasoning

  • By recognizing relevant clinical data to identify the nursing priority

3. Develop Clinical Judgment

  • Outcome when student interprets, notices, and responds appropriately

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