FA DAVIS HEM/ONC
"Even slight bumps or falls can cause hidden bleeding."
A 13-year-old male patient has hemophilia and expresses anger to the nurse about his parents not allowing him to play touch football. He reports, "Everyone knows about my condition and why I can't play contact sports." Which statement by the nurse would support the parent's decision?
Bone marrow aspiration
A 3-year-old child is admitted with weight loss, anorexia, and bone pain to undergo testing for leukemia. Which test would the nurse recognize as being performed to validate the diagnosis?
Ensure diphenhydramine and epinephrine are available on the unit.
Before initiating the process of administering a blood transfusion to a child, which safety precaution would the nurse take?
The bin is used for linen and equipment needed to protect personnel who administer chemotherapy.
The LPN/LVN arrives on a pediatric oncology unit and notices the placement of the pictured containers in some of the patients' rooms. For which purpose would the LPN/LVN understand the use of the containers?
Administration of narcotic pain drug
The LPN/LVN is assisting in the care of an adolescent hospitalized with a sickle cell anemia (SCA) crisis. The adolescent states that their pain is an 8 on a scale of 0 to 10. Which intervention would be most effective in managing the adolescent's current level of pain?
Vaso-occlusive crisis
The LPN/LVN is assisting with the care of a child admitted with a history of sickle cell anemia (SCA). The presenting symptoms include severe pain in the joints, bones, and abdomen and swollen joints, feet, and hands. Which type of SCA crisis would the LPN/LVN identify?
Administration of narcotic pain drug
The LPN/LVN is looking at pictures of a neighbor's infant and notices that the reflection in one of the infant's eyes is white in appearance. Which suggestion would the LPN/LVN offer the neighbor?
"We will watch closely for a common side effect, which is diarrhea."
The LPN/LVN is reinforcing teaching by the RN to a family of a child being treated with oral supplements for iron-deficiency anemia. Which comment by the parent would indicate the need for additional teaching?
Red blood cell (RBC) count is likely to be low.
The LPN/LVN is taking care of a child diagnosed with anemia and hypoxia. For which reason would the LPN/LVN monitor laboratory values of the child's complete blood count (CBC)?
How to store and administer IV clotting factors
The nurse is reinforcing teaching by the RN to family members of a young toddler diagnosed with hemophilia. Which information would be most important to emphasize with the family about incidents when severe bleeding occurs?
Presence of petechiae and abnormal bleeding
The nurse is performing an annual physical at a pediatric clinic on a 10-year-old child. Which observation alone would cause the nurse to make an immediate referral to the child's health care provider?
Call the health care provider immediately.
The nurse is providing care for a child diagnosed with idiopathic thrombocytopenia purpura. The child has not responded positively to IV corticosteroid therapy, and the health care provider prescribes IV immunoglobulin (IVIG) therapy. Which action would the nurse take if the child exhibits hypotension, fever, and urticaria after the infusion is complete?
The bone marrow is suppressed.
The nurse is providing care for a child receiving chemotherapy for cancer. The child's daily laboratory work indicates a hemoglobin concentration of 6.3 g/dL. The child is prescribed packed red blood cells. Which cause of the low hemoglobin would the nurse recognize?
assess previous transfusion HX for reactions confirm transfusion need by reviewing lab values ensure transfusion consent is signed assess the childs pretransfusion status verify HCP precise transfusion order hang the blood with 0.9% sterile normal saline
The nurse receives a prescription for a transfusion of a blood product to a child. In which order would the nurse perform the steps related to blood transfusion? Place the options in the correct order. All options must be used.
