Chapter 29 end questions

The nurse monitors a 5 year old child admitted to the hospital for a neuroblastoma for signs and symptoms related to the location of the tumor in the adrenal gland. Which descriptions would the nurse expect to be documented in the childs record specific to this tumor? (SATA)

1). Firm, nontender, irregular mass in the abdomen 2). Urinary frequency or retention from compression on the bladder

Nurse is caring for a child with aplastic anemia is reviewing the lab results and notes a white blood cell count (WBC) of 6000 and platelet count of 20,000. Which nursing intervention should be incorporated into teaching plan?

Encourage quiet play activities

The nurse reinforces instructions to the parent of a child with sickle cell anemia regarding the precipitating factors related to pain crisis. Which, if identified by a parent as a precipitating factor, indicates the need for further teaching?

Fluid overload

The nurse reinforces instructions to the parents of a child leukemia regarding measures related to monitoring for infection. Which staying by the parents indicates the need for further teaching?

I need to take my child's rectal temperatures daily

The nurse reinforces home care instructions to the parents of a 3 year old child who had bee hospitalized with hemophilia. Which statement by a parent indicated the need for further teaching?

I will avoid immunizations and dental hygiene treatments for my child

The nurse is monitoring for bleeding in a child after surgery to remove a brain tumor. The nurse checks the head dressing for the presence of blood and notes a colorless drainage on the back of the dressing. What action is appropriate?

Notify the registered RN

A 4 year old child hospitalized with a suspected diagnosis of Wilms tumor, the nurse reviews the plan of care and should question which intervention?

Palpate the abdomen for a mass

The nursing instructor asks a student nurse to describe osteogenic sarcoma. Which statement by the student indicates the need to further teaching?

The child does not experience pain at the primary tumor site

The nurse observe a mother giving an oral iron supplement to her 6 year old with iron deficiency anemia. Which action by the mother indicates a need for further teaching?

The mother administered the iron with milk

The nurse is providing discharge instructions to the parents of a 14 year old child who is undergoing radiation for Hodgkin's disease. Which statement by a parent needs further teaching?

I will need to keep my child's skin from flaking so we will be allowing showers every 2 or 3 days