NURS 405 PrepU for week 2
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?
"My husband gives our daughter orange juice when she takes her ferrous sulfate, so she gets Vitamin C."
A parent is angry about the adolescent's diagnosis of osteosarcoma. The parent is telling the adolescent that if he hadn't played football last year and broken his leg, this would not have happened. What is the nurse's best response to the parent's statement?
"Playing sports does not cause osteosarcoma. It may draw attention to the weakened bone from the tumor, though."
A couple is expecting a child. The fetus undergoes genetic testing and the couple discover the fetus has sickle cell disease. The couple ask the nurse how most commonly happens. Which statement is accurate for the nurse to provide?
"Sickle cell disease is passed to a fetus when both parents have the gene."
The nurse is caring for a child with aplastic anemia. The nurse is reviewing the child's blood work and notes the granulocyte count is about 500, platelet count is over 20,000, and the reticulocyte count is over 1%. The parents ask if these values have any significance. Which response by the nurse is appropriate?
"These values will help us monitor the disease."
A 9-year-old child with leukemia is scheduled to undergo an allogeneic hematopoietic stem cell transplant. When teaching the child and parents, what information would the nurse include?
"We'll need to have a match to a donor."
Antiemetics are prescribed to control nausea and vomiting in the child undergoing chemotherapy. How can the nurse most effectively use these medications?
Administer the antiemetic before starting chemotherapy.
The toddler with a cancer diagnosis is seen for a well-child checkup. Which health maintenance activity will the nurse exclude?
Administering the measles, mumps, rubella (MMR) vaccine
The nurse is caring for a 10-year-old boy with hemophilia. He asks the nurse for suggestions about appropriate physical activities. Which activity would the nurse most likely recommend?
Baseball
The nurse is admitting to an examination room a child with the diagnosis of "probable acute lymphoblastic leukemia (ALL)." What will confirm this diagnosis?
Bone marrow aspiration
A nurse is providing care to a child with thalassemia major. The nurse understands that cure of the disorder is achieved with which treatment?
Bone marrow stem cell transplant
The pediatric nurse examines the radiographs of a client that indicate lesions on the bone. This finding is indicative of:
Ewing sarcoma
Which site is most frequently used to perform a bone marrow aspiration?
Iliac crest
A school-aged child with cancer is receiving chemotherapy. Which nursing action would best promote the oral comfort of a child receiving chemotherapy?
Keeping the child's lips moist with petroleum jelly to prohibit cracking
Nursing students are reviewing information about childhood cancers. They demonstrate understanding of the information when they identify what as the most frequent type?
Leukemia
A nurse is providing care to a toddler with nephroblastoma and is being evaluated. Which nursing action would be most important?
Placing a "no abdominal palpation" sign above the child's bed
Which nursing diagnosis should the nurse identify as being the most appropriate for a child with idiopathic thrombocytopenic purpura?
Risk for bleeding related to insufficient platelet formation
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 infection
The nurse is assessing an adolescent with suspected osteosarcoma. What would the nurse be least likely to assess?
Severe bone pain
A 9-month-old infant with iron-deficiency anemia is given ferrous sulfate therapy. Which assessment would best help the nurse determine that the infant is actually taking it daily?
The stools will appear black
The nurse is caring for a child with aplastic anemia. The nurse is reviewing the child's blood work and notes the granulocyte count is about 500, platelet count is over 20,000, and the reticulocyte count is over 1%. The parents ask if these values have any significance. Which response by the nurse is appropriate?
These values will help us monitor the disease
The health care provider prescribes an alkylating agent as part of a child's chemotherapy regimen. When explaining this classification of drug to the child and parents, which information would the nurse integrate into the explanation?
They are cell cycle-nonspecific, destroying both resting and dividing cells
The nurse is assessing the laboratory results of a child receiving chemotherapy. Which agent should the nurse anticipate administering to this child after noting a significant reduction in red blood cells (RBCs)?
epoetin alfa
A nurse is caring for a child with Hodgkin disease who is in the induction phase of a chemotherapy regimen. The nurse explains to the parents that the goal of this phase is to:
kill enough cancerous cells to induce remission.
When planning the care for a child with leukemia who is receiving methotrexate, the nurse would assess the child closely for which possible effect?
mucositis
A 14-year-old girl who is a vegetarian has recently developed anemia. Blood smear results show large, fragile, immature erythrocytes. She claims to take an iron supplement regularly and is surprised to learn that she is anemic, as she is otherwise healthy. As the nurse considers all of the data in the case, which anemia will the nurse discuss when collaborating with the primary healthcare provider?
vitamin B12 deficiency
