CHAPTER 24 PREP U SELECT ALLS

Avoid large crowds. Inspect the skin daily for scratches or scrapes. Remove house plants, flowers, and goldfish from the home environment. Stay away from people who have obvious colds, rashes, or other infections.

A child being treated for leukemia is diagnosed with neutropenia. What nursing instructions directly prevent client infections? Select all that apply.

splenomegaly elevated leukocyte count lymphadenopathy

A child is brought to the clinic for an evaluation. The nurse suspects that the child has leukemia based on which assessment findings? Select all that apply.

Assess the pain. Believe the child's report of pain. Look for complications or cause of pain. Give medications and use distraction. Provide rest in a quiet area. Administer fluids.

A group of newly hired nurses who will be working on the pediatric unit are attending an in-service program about sickle cell disease. During the program, the nurse manager describes the steps for managing sickle cell pain. Place these steps in the sequence in which the nurse manager would describe them.

Extremities Head Neck

A nurse is preparing a presentation for a parent group on childhood cancers. As part of the presentation, the nurse plans to discuss rhabdomyosarcoma. What are some common sites where rhabdomyosarcoma occurs? Select all that apply.

Erythrocytes Thrombocytes Leukocytes

A nursing instructor is describing childhood hematologic disorders to students. Which would the instructor include as being commonly affected by hematologic disorders? Select all that apply.

chest pain severe dizziness sudden change in vision

After teaching the parents of a child diagnosed with sickle cell disease, the nurse determines that the teaching was successful when the parents state that they will contact the primary health care provider if the child develops which signs or symptoms? Select all that apply.

The child has been placed in a semiprivate room. The child is being transported to radiology for an x-ray and the nurse places gloves on the

The child has been admitted to the hospital, with an absolute neutrophil count of 450. The child has been placed in neutropenic precautions. Which nursing interventions indicate that the nurse requires further education? Select all that apply.

Stop the blood transfusion. Administer only IV normal saline (NS). Assess the child's vital signs. Monitor the child's urine output. Call the child's primary health care provider.

The nurse begins administering blood to a pediatric client with hemoglobinopathy. During the transfusion, the nurse notes: a rash on the child's chest, face, and extremities; temperature 101.8°F (38.8°C); respirations 34 breaths/minute; and the child reports nausea. Which actions will the nurse take? Select all that apply.

Restrict all visits from other children. Provide sterilized age-appropriate play materials.

The nurse is caring for a school-age child recovering from an allogeneic stem cell transplant. What nursing action best ensures the child does not develop an infection after the transplant? Select all that apply.

asymmetrical bone growth demyelination of the brain infertility chronic malabsorption in the GI tract growth retardation

The nurse is explaining to a group of parents about the long-term effects of radiation therapy on children. Depending on the location of the therapy, what does the nurse include in this teaching session? Select all that apply.

prognosis of cancer family's coping strategies prevention and alleviation of pain monitoring for side effects of treatment stage of grief of child, parents, and siblings

What are important considerations when the nurse is planning care for the family of a child with cancer? Select all that apply.

Administer ibuprofen as prescribed for pain Applying splints to extremities Schedule regular active range-of-motion exercises

Which nursing interventions would be appropriate for the plan of care designed for a child diagnosed with hemophilia who is experiencing an episode of active bleeding? Select all that apply.

Apply oxygen as needed. Discontinue the transfusion. Give an antihistamine.

While administering a blood transfusion to a child with a hematologic disorder, the nurse notes the child develops urticaria and wheezing. Which collaborative interventions will the nurse begin? Select all that apply.