cancer EAQs

d

which education would the nurse provide the parents of a preschool-aged child w/ leukemia who is undergoing chemo and is susceptible to rectal ulcerations? a) encourage lying on the abdomen when in bed b) have the child wear cotton underpants at night c) apply rectal ointment liberally 4 times a day d) clean the child's perianal area after each bowel movement

3, 5

which method would the nurse use to measure the temp of a 4-year-old child w/ leukemia who has mucositis? select all that apply 1) digital, rectal 2) electronic, oral 3) infrared, tympanic 4) sensor, ear-based 5) temporal artery

d

a child w/ leukemia is to be discharged home on a protocol that includes several antineoplastic meds. which would the nurse plan to teach the parents? a) use an electric toothbrush to provide meticulous oral care b) limit the child's contact w/ peers to avoid exposure to infections c) withhold the antineoplastic meds when vomiting occurs to prevent additional episodes d) notify the practitioner if the child has a temp of 100°F to obtain an antibiotic prescription

b

a child w/ leukemia is to continue taking prednisone at home. the nurse discovers that the child's sibling is home from school w/ chickenpox. which is the nurse's priority concern? a) the child must be immunized before going home b) chickenpox can be fatal to individuals w/ leukemia c) an individual receiving prednisone is immune to chickenpox d) prevention of direct contact btwn siblings permits discharge to the home

d

a client is diagnosed w/ testicular cancer. which treatment would be first? a) radiotherapy b) chemo c) testicular biopsy d) radical inguinal orchiectomy

b

a teenager w/ a diagnosis of osteosarcoma is to have the affected leg amputated. which should promote psychological adjustment and early function immediately after surgery? a) allow the client to change the 1st dressing b) help the client adjust to the temp prosthesis c) assign the client to a room w/ another adolescent d) have the client meet w/ a member of a cancer survivor organization

a

an adolescent girl is concerned about her body image after amputation of a leg for bone cancer. after the nurse has obtained the girl's consent, which action is most therapeutic? a) encouraging her peers to visit b) keeping her lower body covered c) placing her in a room by herself d) limiting her visitors to the fam

1, 2, 5

an adolescent who is undergoing chemo for the treatment of bone cancer has stomatitis as a result of chemo. which would the nurse include when teaching the child about self-care? select all that apply. 1) clean the teeth w/ a swab 2) drink fluids thru a straw 3) brush the teeth 3 times a day 4) rinse freq w/ a mouthwash 5) avoid foods served at extremes of temp

c

the nurse palpates a heavy, hard mass on the lateral aspect of the testis. which treatment is contraindicated for this condition? a) radiotherapy b) chemo c) testicular biopsy d) radical inguinal orchiectomy

3, 5

which S&S would the nurse expect when assessing a 4-year-old child w/ newly diagnosed acute lymphocytic leukemia? select all that apply 1) edema 2) alopecia 3) anorexia 4) insomnia 5) petechiae

d

the nurse is caring for a 15-year-old client who is undergoing chemo for leukemia. which would the nurse recognize that adolescents w/ health problems are most concerned about? a) missing time at school b) limiting social activities c) being dependent while enjoying the sick role d) feeling different regarding changes in body image

1, 4, 5

the nurse is caring for several adolescent clients. which are at increased risk for testicular cancer? select all that apply 1) client w/ infertility 2) client w/ hemophilia 3) client w/ liver disease 4) client w/ cryptorchidism 5) client w/ klinefelter syndrome

c

the parents of a 4-year-old child w/ newly diagnosed acute lymphocytic leukemia blames themselves for not seeking care sooner after noticing changes in their child's behavior and the 'black and blue' marks. which response would the nurse provide based on the patho of leukemia and the typical diagnostic process? a) the diagnosis can be certain only after a blood smear is analyzed b) if leukemia is diagnosed, the child's prognosis is prob guarded c) early S&S of leukemia are similar to those of other milk illnesses of childhood d) the description of the clinical findings indicates that the child has been ill for longer than a single week

1, 2, 4

which clinical findings would the nurse anticipate when assessing a child w/ newly diagnosed acute lymphoblastic leukemia? select all that apply 1) pallor 2) fatigue 3) jaundice 4) multiple bruises 5) generalized edema

d

which education about cranial radiation would the nurse provide to the parents of a child w/ leukemia? a) reduces the risk of systemic infection b) intensifies the effects of chemo c) helps prevent metastasis to the lymphatic system d) helps prevent CNS involvement

2, 3, 4

which factors would the nurse consider when preparing to measure the temp of a preschool-age child w/ leukemia who is undergoing chemo? select all that apply 1) skin sensor temps are not accurate post infancy 2) rectal temps are too upsetting for this age group 3) oral temps are accurate in children w/ leukemia 4) rectal temps are avoided to reduce the risk of rectal trauma 5) tympanic temps are not accurate when a fever is suspected