CHD

. A child is brought to the local Emergency department. Their parents tell you that the child has been vomiting, acting differently, and complaining that their head hurts. Based on the symptoms, what condition would you suspect is happening? Reye's Syndrome Increased ICP Tardive dyskinesia Intracerebral hemorrhage

Increased ICP

You are caring for an infant after placement of a ventriculoperitoneal (VP) shunt for their hydrocephalus. How would you have the infant positioned after surgery? Prone Lying on the affected side with HOB flat Supine with HOB elevated Lying on the unaffected side with HOB flat

Lying on the unaffected side with HOB flat

What is the most important thing for the nurse to consider when taking care of a 3 year old with neuroblastoma? Giving the child opportunity to choose what color socks they want to wear Discipline the child when they disobey Restrict visitors Let them eat whatever they want

Giving the child opportunity to choose what color socks they want to wear

After teaching the parents of a child newly diagnosed with leukemia about the disease, which of the following descriptions given by the mother best indicates that she understands the nature of leukemia? A) "The disease is an infection resulting in increased white blood cell production." B) "The disease is a type of cancer characterized by an increase in immature white blood cells." C) "The disease is an inflammation associated with enlargement of the lymph nodes." D) "The disease is an allergic disorder involving increased circulating antibodies in the blood."

"The disease is a type of cancer characterized by an increase in immature white blood cells."

Which of the following laboratory values could indicate that a child has leukemia? A) WBCs 32,000/mm3 B) Platelets 300,000/mm3 C) Hemoglobin 15g/dL D) Blood pH of 7.35"

A) WBCs 32,000/mm3

Your patient seems anxious about their first round of chemotherapy for their brain tumor. What interventions would you select from the list below? (Select all that apply) Acknowledge stress Ask open-ended questions Listen to concerns Encourage child to express fears Educate using appropriate terms

ALL OF THE ABOVE

A child with acute leukemia is admitted to the oncology unit. Which of the following would be most important for the nurse to inquire? A) Have you noticed a change in sleeping habits recently? B) Have you had a respiratory infection in the last 6 months? C) Have you lost weight recently? D) Have you noticed changes in your alertness?

B) Have you had a respiratory infection in the last 6 months?

1. The parents of a hospitalized 14 year-old boy recently diagnosed with Ewing Sarcoma and receiving chemotherapy are concerned because their son "just sits on his phone texting his friends all day" what is an appropriate nursing response? A. "You should restrict his cell phone usage because excessive cell phone use delays brain development." B. "It is normal for adolescents to be more focused on their friends." C. "You should encourage your sons friends to come visit him in the hospital." D. "You should encourage your son to make new friends here on the unit."

B. "It is normal for adolescents to be more focused on their friends."

3. A pediatric patient diagnosed with osteosarcoma is scheduled to receive induction treatment of cisplatin, a chemotherapy drug. What statement by the parents demonstrate their understanding of nadir? A. "My child will likely be nauseated and lose their hair while receiving chemotherapy." B. "I will not give my child raw fruits and veggies during their chemotherapy induction." C. "I will monitor my child closely a week after chemotherapy is received for signs of infection or bleeding." D. "I will limit the visitors in our home while my child is receiving chemotherapy."

C. "I will monitor my child closely a week after chemotherapy is received for signs of infection or bleeding."

Retinoblastoma A nurse is assessing a pediatric client with a diagnosis of retinoblastoma. The nurse assesses for which most common clinical finding for a child with this diagnosis? Blindness Strabismus Cat's-eye reflex Red, painful eye

Cat's-eye reflex

2. An adolescent child diagnosed with osteosarcoma of the left tibia is scheduled for an amputation, which patient statement demonstrates that the child is coping well. A. "I will have to find new friends because my friends will never want to talk to me again with a chopped off leg." B. "I will never be able to play sports again, so I will just play video games instead." C. "I'm going to be the weird kid with one leg at school, nobody is going to want to talk to me!" D. "I am nervous for therapy and wearing a prosthetic, but I am ready to learn so I can get back to running."

D. "I am nervous for therapy and wearing a prosthetic, but I am ready to learn so I can get back to running."

A child is diagnosed with Wilms tumor. In planning teaching interventions, what key point should the nurse emphasize to the parents? Do not put pressure on the abdomen Frequent visits from friends and family will improve morale Appropriate protective equipment should be worn for contact sports Encourage the child to remain active

Do not put pressure on the abdomen

A diagnostic workup is being performed on a 1-year-old child with suspected neuroblastoma. The nurse reviews the results of the diagnostic tests and understands which of the following findings is most specifically related to this type of tumor? Elevated vanillylmandelic acid (VMA) urinary levels Presence of blast cells in the bone marrow Projectile vomiting, usually in the morning Positive Babinski's sign

Elevated vanillylmandelic acid (VMA) urinary levels

A nurse is giving teaching to a community group of parents about the presence of Hodgkin Lymphoma. Which statements are the appropriate for the group? Select all that apply. Painful enlarged inguinal lymph nodes are a sign of Hodgkin Lymphoma. Most of the tumors associated with this disease appear in the child's upper body; chest, neck, and behind the breastbone. Painless firm moveable adenopathy in the cervical area may be a sign of Hodgkin Lymphoma. If your child presents with fever, malaise, anorexia, and weightloss it is a sign of late stage Hodgkin Lymphoma.

Most of the tumors associated with this disease appear in the child's upper body; chest, neck, and behind the breastbone. Painless firm moveable adenopathy in the cervical area may be a sign of Hodgkin Lymphoma.

The nurse educator is describing a rhabdomyosarcoma to a group of new nurses. Teaching by the nurse is correct if which explanation is provided? The most common sites are the head and neck. It is the most common bone tumor of childhood. It is a common hereditary neoplasm of childhood. It is a benign tumor that is not commonly found in children.

The most common sites are the head and neck.

A diagnosis of Hodgkin's disease is suspected in a 12 year old child. Several diagnostic studies are performed to determine the presence of the disease. Which diagnostic test result will confirm the diagnosis of Hodgkin's disease? Elevated vanillylmandelic acid urinary levels. The presence of blast cells in the bone marrow. The presence of Epstein-Barr virus in the blood. The presence of Reed-Sternberg cells in the lymph nodes.

The presence of Reed-Sternberg cells in the lymph nodes.

The mother of a patient with newly diagnosed Stage 2 malignant lymphoma states, "I know the prognosis is terrible, I can't lose her." What response by the nurse is most appropriate? I understand you're upset, you should enjoy the time you have left with her. This prognosis has a 90% long term survival rate so we have to stay positive. Why do you think she is going to die? Have you talked to your family about end of life care?

This prognosis has a 90% long term survival rate so we have to stay positive.

The pediatric nurse examines a 3 year old boy with a tentative diagnosis of neuroblastoma. Which finding observed by the nurse is associated with this problem? a. Lymphedema and nerve palsy b. Headaches and vomiting c. Abdominal mass and weakness d. Hearing loss and ataxia

c. Abdominal mass and weakness