Sherpath Peds- Childhood Cancers

The mother of a 10-year-old questions the nurse regarding the method of chemotherapy administration and is concerned the child will require frequent IV insertions. With which statement should the nurse respond? "The injections will not hurt." "The peripheral IV will remain in place for up to 3 months." "Eventually, the child will get accustomed to the frequent injections." "A central venous catheter (CVC) may be implanted for long-term chemotherapy administration."

"A central venous catheter (CVC) may be implanted for long-term chemotherapy administration." A CVC will likely be placed for long-term chemotherapy administration and to prevent the possibility of infection related to frequent needle sticks.

The nurse is preparing a 3-year-old patient for a positron emission tomography (PET) scan to diagnose a neck mass. The child's caregiver asks what will be done to prevent potential discomfort and restlessness of the child during the procedure. What should the nurse respond? "Your child will be sedated prior to the procedure." "We will administer opioid analgesia 2 hours prior to the procedure." "You will be allowed to remain in the room at all times with your child." "Soft wrist restraints during the procedure will help the procedure go faster."

"Your child will be sedated prior to the procedure." Young children may need to be sedated prior to a PET scan because they will need to remain still during the procedure.

The mother of a 5-year-old patient reports unexplained weight loss in the child over the past month, frequent epistaxis, and persistent diarrhea. Which other findings support a possible diagnosis of cancer? Select all that apply. Anemia Frequent sneezing Poor concentration Ulcers of the mouth Mass in the child's neck

Anemia Anemia is a sign of malignancy and would support a diagnosis of cancer in a child with epistaxis, weight loss, and diarrhea. Mass in the child's neck Lymphadenopathy, or swollen lymph nodes, may manifest as a mass in the child's neck and is a sign of malignancy. This would support a diagnosis of cancer in a child with epistaxis, weight loss, and diarrhea.

Which situation identifies an environment in which a child may be at increased risk of developing cancer? Residing in low-income housing Making frequent trips to a foreign country Visiting at private school near a clothing factory Exposure to radiation from repeated computed tomography (CT) scans

Exposure to radiation from repeated computed tomography (CT) scans Exposure to radiation can increase a child's risk of developing cancer.

The nurse is caring for a child receiving chemotherapy and notes bruising on the arms and legs. Which test will help identify the cause for bruising? Biopsy Albumin level Platelet levels Head computed tomography (CT)

Platelet levels Chemotherapy causes damage to rapidly growing cells, including platelets, which can lead to bruising and bleeding. A platelet level will help identify the severity of the patient's thrombocytopenia.

When preparing a child to receive chemotherapy, the nurse can expect to see which values in the patient's electronic health record? ABG levels WBC levels Serum glucose level Resting metabolic rate

WBC levels WBC levels should be obtained prior to chemotherapy. This provides a baseline for comparison once treatment has begun.