Saunders Oncology

In caring for a child dx with Hodgkin's disease, which oncologic emergency would the nurse be most concerned about

SVC syndrome

Which specific nursing interventions are implemented in the care of a child with leukemia who is at risk for infection SATA a) Maintain the child in a semi private room b) Reduce exposure to environmental organisms c) Use strict aseptic technique for all procedures d) Ensure that anyone entering the child's room wears a mask e) Apply firm pressure to a needle-stick area for at least 10 min

b, c, d

The nurse is caring for a 3 year old boy with a dx of ALL. the child is crying and complaining that his knees hurt. Which nursing intervention is most appropriate

Administer acetaminophen to the child

A 4 year old child is admitted to the hospital for abdominal pain. The mother reports that the child has passed and is excessively tired and is bruising easily. On physical exam,lymphadenopathy and hepatosplenomegaly are noted. Diagnostic studies are being performed because ALL is suspected. The nurse determines that which lab result confirms the dx

Bone marrow bx showing blast cells

A 9 year old child with leukemia is in remission and has returned to school. The school nurse calls the mother of the child and tells the mother that a classmate has just been diagnosed with chickenpox. The mother immediately calls the clinic nurse b/c the leukemic child has never had chickenpox. Which is an appropriate response by the clinic nurse to the mother

Bring the child into the clinic for a vaccine

The nurse is monitoring for bleeding in a child following surgery for removal of a brain tumor. The nurse checks the head dressing and notes the presence of dried blood on the back of the dressing. The child is alert and oriented and the VS and neuro signs are stable. Which nursing action is most appropriate

Check the operative record to determine whether a drain is in place

the nurse has reviewed the HCP rx for a child suspected of a dx of neuroblastoma and is preparing to implement diagnostic procedures that will confirm the diagnosis. What should the nurse expect to do next to assist in confirming the dx

Collect a 24 hour urine sample

The nurse is collecting data on a 9 year old child suspected of having a brain tumor. Which question should the nurse ask to elicit data r/t the classic symptoms of a brain tumor

Do you throw up in the morning

A diagnostic workup is being performed on a 1 year old with suspected neuroblastoma. The nurse review the results of the diagnostic tests and understands that which is most specifically r/t this type of tumor

Elevated vanillylmandelic acid urinary levels

The nurse should plan to place a child who had a medulloblastoma brain tumor (infratentorial) removed in which position postoperatively

Flat, on either side

The nurse is monitoring a child with a brain tumor for complications associated with increased ICP. which finding, if noted by the nurse, would indicate the presence of DI

High urine output

The nurse instructs the parents of a child with leukemia regarding measures r/t monitoring for infection. Which statement, if made by the parent, indicates a need for further instructions

I will take a rectal temp daily

The nurse is providing home care instructions to the mother of a child receiving radiation therapy. Which statement by the mother indicates a need for further teaching

I won't need to limit the amount of sun that my child gets

The nurse analyzes the lab values of a child with leukemia who is receiving chemo. The nurse notes that the platelet count is 19,500. On the basis of the lab result, which intervention should the nurse include in the plan of care

Initiate bleeding precautions

The nurse is asked to prepare for the admission of a child to the pediatric unit with a dx of Wilms tumor. The nurse is creating a plan of care for the child and should include which intervention in the plan

Inspect the urine for the presence of hematuria at each voiding

The nurse is caring for a 9 year old child with leukemia who is hospitalized for the administration of chemotherapy. The nurse would monitor the child specifically for CNS involvement by checking which item

LOC

The pediatric nurse assists the HCP in performing a lumbar puncture on a 3 year old with leukemia and suspected CNS metastasis. The nurse should place the child in which position for this procedure

Lateral recumbent, knees flexed to the abdomen and the head bent with chin down

The nurse is monitoring a child for bleeding after surgery removal of 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. Which action should the nurse perform immediately

Notify the surgeon

A child is scheduled for allogeneic bone marrow transplantation. The parent of the child asks the nurse about the procedure. The nurse should provide which description about the BMT

Obtaining bone marrow from a donor who matches the child's tissue type

The mother of a 4 year old child tells the pediatric nurse that the child's abdomen seems to be swollen. During further assessment, the mother tells the nurse that the child is eating well and that the activity level of the child is unchanged. The nurse, suspecting the possibility of Wilms tumor, should avoid which during the physical assessment

Palpating the abdomen for a mass

The pediatric nurse clinician is discussing the pathophysiology r/t childhood leukemia with a class of nursing students. Which statement made by a nursing student indicates a need for further teaching of the pathophysiology of this disease

Reed-sternberg cells are found on bx

A 6 year old has just been diagnosed with localized Hidgkin's disease and chemo is planned to begin immediately. The mother of the child asks the nurse why radiation therapy was not prescribed as a part of the tax. What is the nurse's best response

Sometimes age has to do with the decision for radiation

The nurse provides a teaching session to the nursing staff regarding osteosarcoma. Which statement by a member of the nursing staff indicates a need for information.

The child does not experience pain at the primary tumor site

A 6 year old child with leukemia is hospitalized and is receiving combination chemotherapy. Lab results indicate that the child is neutropenic. And protective isolation procedures are initiated. The grandmother of the child visits and brings a fresh bouquet of flowers picked from her garden and asks the nurse for a vase for the flowers. Which response should the nurse provide to the grandmother

The flowers from your garden are beautiful but should not be placed in the child's room at this time

A dx of Hodgkin's disease is suspected in a 12 year old child.several diagnostic studies are performed to determine the presence of this disease. Which diagnostic test result will confirm the dx of Hodgkin's disease

The presence of Reed-Sternberg cells in the LN

A 13 year old child is diagnosed with Ewing's sarcoma of the femur. After a course of radiation and chemotherapy, it was decided that leg amputation is necessary. After the amputation, the child becomes very frightened because of aching and cramping felt in the missing limb. Which nursing statement is most appropriate to assist in alleviating the child's fear

This aching and cramping is normal and temporary and will subside

sing care of the child with myelosuppression from leukemia or chemotherapeutic agents should include which intervention

Use good hand washing technique

The nurse is monitoring a 3 year old child with s/s of increased ICP after a craniotomy. The nurse plans to monitor for which early s/s of increased ICP

Vomiting

A 14 year old child is admitted to the hospital with a dx of ALL. She is receiving a combination chemotherapeutic regimen that includes cyclophosphamide. The nurse plans care understanding that which are associated with this med SATA a) It is platelet sparing b) It causes constipation c) It causes hemorrhagic cystitis d) It causes bone marrow depression e) Increased fluid is necessary

a, c-e

The nurse is performing an assessment on a 10 year old child suspected to have Hodgkin's disease. Which assessment findings are specifically characteristic of this disease SATA a) Abdominal pain b) Fever and malaise c) Anorexia and weight loss d) Painful enlarged inguinal LN e) Painless, firm and movable adenopathy in the cervical area

a, e

The nurse is reviewing the lab and diagnostic test results of a 5 year old child scheduled to be seen in the clinic. The nurse notes that the HCP documented that diagnostic studies revealed the presence of Reed-Sternberg cells. The nurse prepares to assist the HCP to discuss which initial procedure with the parents

surgical bx