Hematology/Oncology
A nurse is caring for a child with newly diagnosed acute lymphoblastic leukemia. What clinical findings does the nurse anticipate when assessing the child? Select all that apply. a. Fatigue b. Pallor c. Jaundice d. Multiple bruises e. Generalized edema
a. Fatigue b. Pallor d. Multiple bruises
A 15-year-old has been admitted to the hospital with the diagnosis of acute lymphocytic leukemia (ALL). Which signs and symptoms require the most immediate nursing intervention? a. Fever and petechiae b. Enlarged liver and spleen c. Swollen neck lymph glands and lethargy d. Fatigue and anorexia
a. Fever and petechiae
A child with hemophilia presents with a burning sensation on the knee and reluctance to move the body part. The nurse collaborates with the care team to provide factor replacement and: a. Institute rest, ice, compression, and elevation (RICE). b. Administer an aspirin-containing compound. c. Begin physical therapy with active range of motion. d. Initiate skin traction.
a. Institute rest, ice, compression, and elevation (RICE).
The school nurse is assessing a 10-year-old boy with hemophilia who has fallen while playing in the schoolyard. At which site does the nurse expect to find internal bleeding? a. Joints b. Abdomen c. Cerebrum d. Epiphysis
a. Joints
An 8-year-old child who is experiencing a sickle cell pain episode is admitted to the child health unit. What is the most appropriate nursing care during this acute period? a. Administering prescribed analgesics b. Limiting fluids until the crisis ends c. Applying cold compresses to painful joints d. Performing range-of-motion exercises of affected joints
a. Administering prescribed analgesics
A nurse is teaching the family of an 8-year-old with acute lymphocytic leukemia about appropriate activities. Which recommendation should the nurse make? a. Being treated as "normal" as much as possible. b. Home schooling c. Restriction from participating in athletic activities. d. Avoiding trips to the shopping mall.
a. Being treated as "normal" as much as possible.
What should the plan of care include to minimize the potential for a sickling episode in a child with sickle cell anemia? a. Promoting adequate oxygenation b. Providing an iron-rich diet c. Ensuring hemoconcentration d. Enforcing periods of quiet play
a. Promoting adequate oxygenation
A child with sickle cell disease experiences a sequestration crisis. The parents ask how it differs from a painful episode (vaso-occlusive crisis). What is the best response by the nurse? a. Blood volume decreases and signs of shock appear. b. Peripheral ischemia occurs along with the pain. c. Red blood cell (RBC) production diminishes with severe anemia. d. Destruction of RBCs is accelerated and jaundice becomes evident.
a. Blood volume decreases and signs of shock appear.
A 3-year-old child is admitted to the pediatric unit with a tentative diagnosis of Wilms tumor. The nurse obtains the child's health history from the parents. What does the child's history reveal that will help establish the diagnosis? a. Abdominal swelling b. Periorbital edema c. Projectile vomiting d. Low-grade temperature
a. Abdominal swelling
An 11-year-old child is admitted to the hospital in vaso-occlusive sickle cell crisis. The nurse plans for which priority treatment in the care of the child? a. Splenectomy b. Adequate hydration, pain management c. Passive range-of-motion exercises, adequate hydration before exercising. d. Frequent ambulation, oxygen administration
b. Adequate hydration, pain management
