Pediatric Nursing Ch 24 PrepU
The nurse is working with a child who is in sickle cell crisis. Treatment and nursing care for this child include which actions? Select all that apply.
-Administering oxygen -Administering analgesics -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.
-Loss of appetite -Nausea -Vomiting -Skin redness
The nurse is reviewing the results of a clotting study for a healthy 6-year-old. What would the nurse document as a normal prothrombin finding?
11.0 to 13.0 seconds
A group of nursing students are studying information about childhood cancers in preparation for a class examination. They are reviewing how childhood cancers differ from adult cancers. The group demonstrates understanding of the information when they identify what location as an unlikely site for childhood cancer?
Bladder
The pediatric nurse reviews the radiographs of a child and observes that there are lesions on the bone. The nurse interprets this finding as suggesting which condition?
Ewing sarcoma
A child with hemophilia A is scheduled for surgery. Which precautions would the nurse institute with this client?
Handle the child gently when transferring to a stretcher.
The parent contacts the health care provider because their preschool-age child has a temperature of 101.5°F (38.6°C). The child received outpatient chemotherapy 1 week ago. Which is the most appropriate response by the nurse?
Have the parent bring the child to the pediatric oncology clinic as soon as possible.
What is a well-defined risk management technique that the nurse can teach children and parents to prevent cancer?
Limit sun exposure throughout childhood and adolescence
A child with acute lymphoblastic leukemia (ALL) is receiving methotrexate for therapy. Which nursing diagnosis would best apply during therapy?
Risk for impaired skin integrity related to oral ulcerations associated with chemotherapy
A child is sent to pediatric intensive care following surgery for a brain tumor. Which prescription would the nurse question?
elevate head of bed 90 degrees
The nurse is caring for a child with leukemia. Which nursing intervention would be the highest priority for this child?
following guidelines for reverse isolation
A 5-year-old child is at the pediatric clinic for a well-child visit. Which symptom alerts the health care provider that this child might have acute lymphoblastic leukemia (ALL)?
lethargy, bruises, and lymphadenopathy
The nurse is reviewing the medical record of a child diagnosed with Hodgkin lymphoma at the asymptomatic stage. Which would the nurse identify as typically the first sign reported by the child?
painless, enlarged lymph node
A nurse is teaching the parents of a child with a hematologic disorder about ensuring proper nutrition. The nurse determines that the parents have understood the teaching when they identify which food as high in vitamin B12?
poultry
The nurse is teaching the parents of a 15-year-old boy who is being treated for acute myeloid leukemia about the side effects of chemotherapy. For which symptoms should the parents seek medical care immediately?
temperature of 101°F (38.3°C) or greater
A nurse is caring for a 4-year-old male child brought to the emergency department (ED) for symptoms of influenza. The parents state the child has "had high fevers for the past 3 days even though we have been giving our child acetaminophen and they do not really want to eat or drink anything and has been very sleepy." Client opens eyes to voice, follows simple commands, and skin is very warm, ruddy, and dry. Vital signs: 101.5°F (38.6°C); heart rate, 138 beats/min; oxygen saturation, 95% on room air. Laboratory values: white blood cell (WBC) count, 43 × 103 cells/mm3 (43 × 109/l); hemoglobin, 10 mg/dl (100 g/l); hematocrit, 32% (0.32); platelets, 20,000/ml (20 × 109/l); neutrophil bands, 48/mcl (0.05 × 109/l); lymphoblasts, 33 (NA). Complete the following sentence(s) by choosing from the lists of options. The nurse should first address
-risk for bleeding -implementing bleeding precautions
The nurse is planning care for a school-aged child recovering from being hit by a motor vehicle while riding a bicycle. For what will the nurse assess to determine the onset of disseminated intravascular coagulation (DIC) in this child?
bleeding from intravenous sites
The nurse will select which meal as the best choice for a child with iron-deficiency anemia?
cheeseburger, broccoli, and fresh strawberries
The nurse is explaining to a group of parents about the long-term effects of radiation therapy on children. Depending on the location of the therapy, what does the nurse include in this teaching session? Select all that apply.
-asymmetrical bone growth -demyelination of the brain -infertility -chronic malabsorption in the GI tract -growth retardation
The nurse is providing preoperative care for a 7-year-old boy with a brain tumor, as well as his parents. Which intervention is a priority?
Assessing the child's level of consciousness
A nursing student compares and contrasts childhood and adult cancers. Which statement does so accurately?
Children's cancers, unlike those of adults, often are detected accidentally, not through screening.
A nurse caring for an 8-year-old with a bleeding disorder documents the following nursing diagnosis: ineffective tissue perfusion related to intravascular thrombosis and hemorrhage. This diagnosis is most appropriate for a client with:
Disseminated intravascular coagulation
A child with sickle cell disease is brought to the emergency department by his parents. He is in excruciating pain. A vaso-occlusive crisis is suspected and analgesia is prescribed. What would the nurse expect as least likely to be ordered?
Meperidine
The nurse has received morning report on a group of pediatric clients. Which pediatric client will the nurse see first?
a child with hemophilia reporting knee pain and edema
