Peds - Chapter 28: Nursing Care of the Child With a Neoplastic Disorder

A child with leukemia received chemotherapy about 10 days ago. She presents today with a temperature of 100.4F, an absolute neutrophil count of 500, and mild bleeding of the gums. What is the priority nursing intervention? 1. administer IV antibiotics as ordered 2. provide vigorous oral care freuently with a firm toothbrush 3. monitor pulse and blood pressure changes 4. administer packed red blood cell transfusion

administer IV antibiotics as ordered

A child with leukemia has the following AM lab results: hgb 8.0, Hct 24.2, WBC 8,000, patelets 150,000. What is the priority nursing assessment? 1. monitor for fever 2. assess for bruising or bleeding 3. determine intake and output 4. assess for pallor, fatigue, and tachycardia

assess for pallor, fatigue, and tachycardia

A 5 y/o has been diagnosed with Wilms tumor. What is the priority nursing intervention for this child? 1. educate the parents about dialysis, as the kidney will be removed 2. measure abdominal girth every shift 3. avoid palpating the child's abdomen 4. monitor BUN and creatinine every 4h

avoid palpating the child's abdomen (excessive papations of abdomen can cause seeding of tumor, leading to metastasis)

A child with cancer is receiving chemotherapy, and his mother is concerned that the nausea and vomitng associated with chemotherapy are reducing is ability to eat and gain weight appropriately. What is the most appropriate nursing action? 1. administer an antiemetic at the first hint of nausea 2. offer the child's favorite foods to encourage him to eat 3. start antiemetic drugs prior to the chemotherapy infusion 4. maintain IV fluid infusion to avoid dehydration

start antiemetic drugs prior to the chemotherapy infusion