NUR 2272 Test 5 Prep-U

Uncontrolled bleeding

The oncology nurse is alert for patients displaying signs and symptoms of disseminated intravascular coagulation (DIC). Which of the following is a sign of this emergency condition?

slightly yellow sclerae.

You care for a 4-year-old with sickle cell anemia. A physical finding you might expect to see in him is

"Laser surgery typically is not done until she's 18 years old."

The parents of a 10-year-old girl with a refractive error ask the nurse about the possibility of laser surgery to correct the vision. Which statement by the nurse would be most appropriate?

"Milk is a perfect food, and babies should be able to have all the milk they want."

In discussing the causes of iron deficiency anemia in children with a group of nurses, the following statements are made. Which of these statements is a misconception related to iron deficiency anemia?

Disseminated Intravascular Coagulation

"A nurse caring for an 8-year-old child with a bleeding disorder documents the following nursing diagnosis: Ineffective tissue perfusion related to intravascular thrombosis and hemorrhage. This nursing diagnosis would be most appropriate for a child diagnosed with which of the following?

To clean the discharge away from the inner to outer can thus.

A 10-year-old boy develops bacterial conjunctivitis of the right eye. The eye is inflamed and drains a thick, yellow discharge. An important measure you would want to teach him is:

Myopia

A child is brought to the clinic because of complaints of not being able to see the blackboard at school. The nurse also notes that the child holds a book very close to the eyes. The nurse suspects which of the following?

Provide various soft and bland foods to minimize further irritation. Have the child rinse the mouth with lukewarm water three times a day. Apply a lip balm or petroleum jelly to prevent cracking.

A child is receiving chemotherapy and develops stomatitis. The nurse identifies a nursing diagnosis of impaired oral mucous membranes related to the effects of chemotherapy. Which of the following would the nurse include in the child's plan of care? Select all that apply.

Antiemetic

A child is to receive radiation therapy this morning. A drug you would expect to see prescribed for him prior to this would be an:

Keeping ear canals dry

A child returns to the clinic after an episode of otitis externa, which has resolved. Which of the following would the nurse emphasize as the priority for preventing future episodes?

Compression (From the RICE)

Complications associated with bleeding most often involve joints and muscles. Adjunct measures to control bleeding include

An enlarged spleen

An 8-month-old girl appears pale, irritable, and anorexic. On blood testing, the red blood cells are hypochromic and microcytic. The hemoglobin level is less than 5 g/100 mL, and the serum iron level is high. Which of the following symptoms should the nurse most expect as a result of excessive iron deposits?

Administer the antiemetic before starting chemotherapy

Antiemetics are ordered to control nausea and vomiting in the child undergoing chemotherapy. How can the nurse most effectively use these medications?

"The MRI uses radio waves and magnets to produce a computerized image of the body."

The nurse caring for a 14-year-old scheduled for magnetic resonance imaging (MRI) explains the test to the child and family. Which of the following would be most appropriate to include in the explanation?

Bone marrow aspiration

The nurse is admitting to an examination room a child with the diagnosis of "probable acute lymphoblastic leukemia." What will confirm this diagnosis?

Baseball

The nurse is caring for a 10-year-old boy with hemophilia. He asks the nurse for suggestions about appropriate physical activities. Which activity would the nurse most likely recommend?

"She has been down, but playing in soccer camp will cheer her up.

The nurse is preparing a child for discharge following a sickle cell crisis. The mother makes the following statements to the nurse. Which statement by the mother indicates a need for further teaching?

Ongoing parental assessments of their child's capabilities

The nurse is preparing an ongoing assessment plan for a child with multiple sensory disorders. Which of the following will contribute most to the detection and intervention of problems?

Recently helped clean the basement

The nurse is taking a health history for a 9-year-old with conjunctivitis. Which of the following findings would suggest that this is allergic conjunctivitis?

Astigmatism

The nurse is teaching a group of parents about eyes and eye concerns. The nurse tells these caregivers about a condition that occurs when unequal curvatures in the cornea bend the light rays in different directions and this causes images to be blurred. The condition the nurse is referring to is which of the following?

Increased D-Dimer assay

The nurse preparing a child for diagnostic testing to diagnose disseminated intravascular coagulation. Which results would the nurse identify as indicating this condition?

Involving the boy in decisions whenever possible

Which of the following interventions will best help the teen's sense of control?

Football injuries do not contribute to the development of a tumor.

A high-school football player has been diagnosed as having osteosarcoma of the femur. His mother is angry because she told him not to play football. Which of the following health teaching points would you include in the teaching plan for the boy and his mother?

The frequency of otitis media is reduced in breastfed infants.

A mother asks you if there is any way to prevent acute otitis media. A suggestion you would make to her would be this

Amblyopia

A nurse develops a plan of care for a child that includes patching the eye. This plan of care would be most appropriate for which condition?

Keeping the child's lips moist with Vaseline to prohibit cracking

A school-aged child with cancer is receiving chemotherapy. Which nursing action would best promote the oral comfort of a child receiving chemotherapy?

Chemotherapy affects cancer cells and normal cells that multiply rapidly.

A teenage girl asks why chemotherapy causes hair loss. Which response by the nurse is accurate?

Leukemia

Nursing students are reviewing information about childhood cancers. They demonstrate understanding of the information when they identify which of the following as the most frequent type?