NUR 238: Chapter 24 Practice Questions

The nurse is preparing to post a sign above a crib of an infant with a Wilms tumor. Which statement should the nurse post immediately?

"Do not palpate abdomen"

The nurse is teaching an in-service program to a group of nurses on the topic of children diagnosed with sickle cell anemia. Which statement is most accurate regarding sickle cell anemia? -the disease is most often seen in individuals of asian descent -males are much more likely to have the disease than females -the trait or the disease is seen in a one generation and skips the next generation -if the trait is inherited from both parents the child will have the disease

"if the trait is inherited from both parents the child will have the disease"

What are important considerations when the nurse is planning care for the child and family of a child with cancer? Select all that apply. -Family's coping strategies -Monitoring for side effects of treatment -Stage of grief of child, parents, and siblings -Prognosis of cancer -Prevention & alleviation of pain -Child's gender

-Family's coping strategies -Monitoring for side effects of treatment -Stage of grief of child, parents, & siblings -Prognosis of cancer -Prevention & alleviation of pain

The nurse is assessing children in an ambulatory clinic. Which child would be most likely to have iron-deficiency anemia? -A 7-month-old infant who has started table feeding -A 15-year-old adolescent who has heavy menstrual periods -An 8-year-old child who carries lunch to school -A 3-month-old infant who is totally breastfed

A 15-year-old adolescent who has heavy menstrual periods

The nurse is instructing the parents of a child with sickle cell anemia on safety precautions. What should the nurse emphasize during this teaching?

Ensure a consistent and daily intake of adequate fluids to prevent dehydration

Nursing students are reviewing information about childhood cancers. They demonstrate understanding of the information when they identify what as the most frequent type? -Neuroblastoma -Wilms tumor -Non-Hodgkin lymphoma -Leukemia

Leukemia

A nurse is caring for a 12-year-old girl who is recovering from surgery for removal of a brain tumor. Which intervention should the nurse implement to avoid increasing intracranial pressure? -Regulate the rate of IV fluid infusions carefully -Place a sterile towel under wet dressings -Sponge the client's face -Apply saline eye drops, as prescribed

Regulate the rate of IV fluid infusions carefully

The nurse is working with a child who is in sickle cell crisis. Treatment & nursing care for this child include which actions? Select all that apply: -Administering analgesics -Administering oxygen -Promoting exercise & activity -Maintaining fluid intake -Administering platelets

-Administering analgesics -Administering oxygen -Maintaining fluid intake

A nurse is talking with parents of a child who is to begin radiation treatment for cancer. The parents ask, "What kind of effects might we see soon after the child starts treatment?" Which effects would the nurse include when instructing the parents? Select all that apply. -Shortening of the spine -Loss of appetite -Skin redness -Vomiting -Nausea

-Loss of appetite -Skin redness -Vomiting -Nausea

A nurse is instituting neutropenic precautions for a child. What precautions would the nurse most likely include? Select all that apply. -Placing a mask on the child when outside the room -Placing the child in a semiprivate room -Monitor vital signs every 12 hours -No intake of raw fruits or vegetables -Discouraging fresh flowers in the child's room

-Placing a mask on the child when outside the room -No intake of raw fruits or vegetables -Discouraging fresh flowers in the child's room

What client symptoms does the elementary school nurse note that is suspicious for a brain tumor? Select all that apply -ringing in the ears -nausea & vomiting -clumsiness in movement -headache -visual disturbances

-nausea & vomiting -clumsiness in movement -headache -visual disturbances

The nurse is caring for a 4-year-old with acute lymphoblastic leukemia. The child weighs 38 pounds. The medication order reads: ondansetron 2.6 mg IV every 8 hours for chemotherapy related nausea/vomiting. Ondansetron is supplied as 4 mg/2 mL. how many milliliters will the nurse administer for each dose?

1.3

Antiemetics are ordered to control nausea and vomiting in the child undergoing chemotherapy. How can the nurse most effectively use these medications? -Start the antiemetic when the chemotherapy begins to cause nausea -Use the antiemetic after it is clear that nonpharmacologic methods are not effective -Provide the antiemetic as needed (PRN) when nausea and vomiting are reported -Administer the antiemetic before starting chemotherapy

Administer the antiemetic before starting chemotherapy

A 4-year-old child diagnosed with Wilms tumor is admitted for surgery. What information would be most important for the nurse to include in the child's preoperative plan of care? -Avoiding further abdominal palpation -Preparing the child for amputation -Administering analgesics for pain -Performing dressing changes to the affected areas

Avoiding further abdominal palpation

The nurse is assessing a 10-year-old girl with acute lymphoblastic leukemia. What information would lead the nurse to suspect that the cancer has infiltrated the central nervous system? -Child complains of facial palsy and vision problems -Observing petechiae, purpura, or unusual bruising -Noting adventitious breath sounds during auscultation -Palpation of abdomen reveals enlarged liver & spleen

Child complains of facial palsy and vision problems

The nurse is caring for a child who has a depressed immune system due to chemotherapy treatments. The child is due for scheduled immunizations according to CDC recommendations. The nurse must ensure that the child does not receive which type of immunization? -Any vaccine -Killed vaccine -Inactivated vaccine -Live vaccine

Live vaccine

A school-aged child is admitted to the hospital with a vaso-occlusive sickle cell crisis. Which measure in the child's care should be given a priority? -beginning active range-of-motion exercises -encouraging the child to take deep breaths hourly -maintaining a fluid intravenous line -seeing that the child ingests a protein-rich diet

Maintaining a fluid intravenous line

The nurse is caring for a 5-year-old boy who will soon die of cancer and is experiencing dyspnea and increasing levels of pain. What would be the priority for pain management with this child? -Monitoring the child's vital signs & frequency -Preventing & alleviating pain -Preventing addiction to the opioid medications -Following the physician's rigid guidelines regarding dosages

Preventing and alleviating pain

A 5-year-old has been diagnosed with leukemia and is currently on chemotherapy & radiation. The child is having difficulty due to mucositis. Which is the most appropriate nursing diagnosis for this child? -Compromised family coping, related to long-term chemotherapy regimen -Pain due to neoplastic process in bone -Disturbed body image related to loss of hair after chemotherapy -Risk for imbalanced nutrition, less than body requirements

Risk for imbalanced nutrition, less than body requirements

When developing the postoperative plan of care for a child with sickle cell anemia who has undergone a splenectomy, which would the nurse identify as the priority? -Risk for delayed growth and development -Risk for infection -Impaired skin integrity -Deficient fluid volume

Risk for infection

The nurse is talking with a 9-year-old child diagnosed with acute leukemia who will soon begin chemotherapy. The child expresses worry that when her hair falls out friends won't like her or want to play with her anymore. Which response by the nurse would be best? -Distract the child with a book or educational computer games -Talk with her and her family about wearing a wig, cap, or scarf -Tell the child that having chemotherapy is the only way she'll get better -Reassure the child that her hair will grow back in 3-6 months

Talk with her and her family about wearing a wig, cap, or scarf

A child is diagnosed with sickle cell anemia. Which component of the blood, the one responsible for the transport of oxygen, is defective in this disorder? -plamsa -leukocytes (white blood cells) -hemoglobin -thrombocytes (platelets)

hemoglobin

The nurse is reinforcing teaching with a group of caregivers of children diagnosed with iron-deficiency anemia. One of the caregivers tells the group, "I give my child ferrous sulfate." Which statement made by the caregivers is correct regarding giving ferrous sulfate? -"We watch closely for diarrhea since that usually happens when he takes ferrous sulfate" -"My husband gives our daughter orange juice when she takes her ferrous sulfate, so she gets Vitamin C" -"I always give the ferrous sulfate with meals" -"When I give my son ferrous sulfate I know he also needs potassium supplements."

"My husband gives our daughter orange juice when she takes her ferrous sulfate, so she gets Vitamin C"

When discussing the causes of iron-deficiency anemia in children with a group of nurses, the following statements are made. which of these statements are correct related to iron-deficiency anemia? select all that apply. -milk is a perfect food, and babies should be able to have all the milk they want -Children have a hard time getting enough iron from food during their first few years -A family's economic problems are often a cause of malnutrition -caregivers sometimes don't understand the importance of iron and proper nutrition.

-Children have a hard time getting enough iron from food during their first few years -A family's economic problems are often a cause of malnutrition -caregivers sometimes don't understand the importance of iron and proper nutrition.

A child who has pruritis has an order for diphenhydramine 25 mg orally every 6 hours. The child weighs 22 pounds. The drug concentration is 12.5 mg/5 mL. How many mL will the child receive per dose?

10

The nurse is caring for a 13-year-old boy with acute myelogenous leukemia who is experiencing feelings of powerlessness due to the effects of chemotherapy. What intervention will best help the teen's sense of control? -Involving the boy in decisions whenever possible. -Recognizing abilities that are unaffected by the disease -Providing realistic expectations of treatments & outcomes -Acknowledging the boy's feelings of anger with the disease

Involving the boy in decisions whenever possible.