Child
nurse is caring for a child who is postoperative following surgical removal of a Wilms' tumor. Which of the following assessments is an indication to continue NPO status?
Absent bowel sounds
NURSES NOTES Temperature: 37.8° C (100.1° F) Sore throat Family history of seizures
Administer DTAP vaccine.
nurse is preparing to administer the varicella vaccine an adolescent. Which of the following questions should the nurse ask to determine whether there is contraindication to administering the vaccine?
"Are you currently taking corticosteroid medication?"
nurse is providing teaching to the parent of child who has a neuroblastoma. Which of the following statements should the nurse include the teaching? (Select all that apply.)
"Chemotherapy and radiotherapy may necessary for treatment." Your child will need a bone marrow biopsy." Your child will need surgery resection of the tumor."
nurse is teaching the parent of a child who has a Wilms' tumor. Which of the following statements should include in the teaching? (Select all that apply.)
"Surgery is done usually within 48 hours of diagnosis." " Palpating the tumor could cause spread the cancer." Further treatments start immediately after surgery."
nurse is assessing a child who has neuroblastoma the adrenal gland. Which of the following are manifestations of metastasis from the primary site? (Select all that apply.)
Bone pain Periorbital ecchymoses Proptosis Weight loss
A nurse is caring for a child who is experiencing neuropathy due to chemotherapy. Which of the following are manifestations of neuropathy? (Select all that apply.)
Constipation Foot drop Jaw pain
A nurse is assessing a child who has rhabdomyosarcoma of the nasopharynx. Which of the following are manifestations of rhabdomyosarcoma? (Select all that apply.)
Enlarged neck lymph nodes Pain Epistaxis
A nurse is planning to administer recommended immunizations to a 4-year-old child. Which of the following vaccines should the nurse plan to give? (Select all that apply.)
Inactivated poliovirus (IPV) Measles, mumps, rubella (MMR) Varicella (VAR) Hepatitis (HepB) Diphtheria, tetanus, acellular (DTaP)
nurse is providing home care instructions to a parent of a child who is receiving chemotherapy. Which of the following instructions should the nurse include in the teaching? (Select all that apply.)
Manifestations of infection Bleeding precautions Hand hygiene
nurse is caring for a child who has thrombocytopenia. Which of the following actions should the nurse take? (Select all that apply.)
Monitor for manifestations of bleeding. Avoid peripheral venipunctures.
nurse is caring for a child who has oral mucositis. Which of the following actions should the nurse take? (Select all that apply.)
Offer soft foods. Use a soft, disposable toothbrush for oral care. Encourage gargling with a warm saline mouthwash.
nurse is assessing a child who has rhabdomyosarcoma of the upper Which of the following findings should the nurse expect? (Select all that apply.)
Pain Lymph node enlargement Palpable mass
nurse is caring for a child following an above-the-knee amputation. Which of the following actions should the nurse take?
Prepare the child for a prosthesis fitting.
nurse is caring for a toddler who has a Wilms' tumor. Which of the following actions should the nurse take?
Prepare the child for surgery.
A nurse preparing to administer immunizations to 4-month-old infant. Which of the following actions should the nurse take to provide atraumatic care?
Provide sucrose solution on the pacifier.
nurse is planning care for an infant who is scheduled have lumbar puncture. Which of the following actions should the nurse include in the plan of care?
Restrain the infant during the procedure to prevent movement.
A nurse is planning to administer recommended immunizations to 2-month-old infant. Which of the following vaccines should the nurse plan to give? (Select all that apply.)
Rotavirus (RV) Diphtheria, tetanus, and acellular pertussis (DTAP) Haemophilus influenzae type b (Hib) Pneumococcal conjugate (PCV13) Inactivated poliovirus (IPV)
nurse is caring for an adolescent who has a new diagnosis of osteosarcoma. Which of the following actions should the nurse take first?
Spend time with the adolescent answer any questions.
A nurse is assessing a child who has leukemia. Which of the following are early manifestations leukemia? (Select all that apply.)
Anorexia Petechiae Unsteady gait