Nurse 410 peds prepu
A 5-year-old girl with sickle cell disease has had a temper tantrum in the office waiting room, and the mother has dealt with it inadequately. How should the nurse address the girl's apparent lack of discipline when the pair is in the examination room?
"How did feel about your daughter's behavior in the waiting room?"
Parents ask why their child just diagnosed with leukemia needs a "spinal tap." Which is the bestresponse by the nurse?
"Checking the cerebrospinal fluid will reveal whether leukemic cells have entered the central nervous system."
What is the best response by the nurse to the parents of a child with leukemia who express guilt because they did not take immediate action when their child seemed to develop one respiratory infection after another?
"Keep in mind that the signs of leukemia are often subtle and difficult to recognize."
A 3-year-old who has been attending preschool has been diagnosed with leukemia. The caregivers of this child ask the nurse what they can do to help their child feel secure. Which recommendation could the nurse make to these caregivers that would be helpful in making the child feel secure?
"Let your child continue to attend preschool as much as possible."
The parents of a 2-month-old infant have learned that their infant has hemophilia. The parents are visibly upset and ask how this could have happened to them. What is the nurse's bestresponse?
"News like this is difficult to hear. Let's talk about what this means for your child."
Wilm's tumor is suspected in a 5-year-old child. Which action would be avoided?
Abdominal palpation
When reviewing information about the incidence of the various types of childhood cancer, nursing students demonstrate understanding of the information when they identify which type as having the highest incidence?
Acute lymphocytic (lymphoblastic) leukemia
How can the nurse most simply describe for distressed parents a rhabdomyosarcoma that has been found in their 5-year-old?
Call it a tumor of muscle tissue
A teenage girl asks why chemotherapy causes hair loss. Which response by the nurse is accurate?
Chemotherapy affects cancer cells and normal cells that multiply rapidly.
The nurse is providing care to a child who is nearing death. Which of the following would be most important for the nurse to keep in mind when communicating with the child?
Communication can be key in helping to meet the psychological needs of the dying child
A 15-year-old client diagnosed with von Willebrand disease has reached menarche. Based on this fact, what information is most important for the nurse to convey to the client?
Expect menstrual bleeding to be heavy.
When providing care to a dying child and his family, which would be most important?
Focusing on the family as the unit of care
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 15-year-old boy has been diagnosed with an osteogenic sarcoma of the distal femur. He also demonstrates a chronic cough, dyspnea, and chest pain, along with chronic leg pain. Based on these findings, the nurse should suspect metastasis to which body area?
Lungs
A school-aged child is admitted to the hospital with a vaso-occlusive sickle cell crisis. Which measure in the child's care plan should be given priority?
Maintaining fluids through an intravenous line
The nurse is assessing a 3-year-old boy whose mother reports that he is listless and has been having trouble swallowing. Which finding suggests the child may have a brain tumor?
Observation reveals nystagmus and head tilt
The nurse is reviewing the medical record of a child diagnosed with Hodgkin's lymphoma. Which would the nurse identify as typically the first sign reported by the child?
Painless, enlarged lymph node
The nurse is assessing a 14-year-old girl with a tumor. Which finding indicates Ewing sarcoma?
Palpation reveals swelling and redness on the right ribs.
The nurse is describing the phases of treatment to a child who was diagnosed with leukemia and his parents. How would the nurse describe the induction stage?
Rapid promotion of complete remission
A nurse is providing teaching on the medication regimen for beta-thalassemia to an adolescent. What is the best way for the nurse to determine if the teaching was successful?
Request that the adolescent teach the information to the nurse.
The parents of an 11-year-old boy who is dying from cancer are concerned that he is not eating. Which intervention would serve both the parents' and child's needs?
Serving small meals of things the child likes
Which symptom would lead the nurse to suspect that a child is developing a common side effect of vincristine?
The child says the fingertips feel numb.
The nurse is working with a family whose daughter is dying of a brain tumor. When addressing the situation with the child's siblings, the nurse should prioritize what consideration?
The children's stages of growth and development
The school nurse is providing information to parents of adolescents about prevention of cervical cancer. Which information is included in the teaching?
vaccine against human papillomavirus (HPV)
A 3-year-old boy has been on chemotherapy for cancer. He complains about a sore throat, is experiencing malaise, and has a temperature of 99.8° F (37.7° C) orally. His mother calls the child's physician. What is the appropriate information for the nurse to tell his mother at this time?
"Plan to bring the child into the physician's office today."
A child who has been diagnosed with a terminal brain tumor states, "I'm dying." What is the best response by the nurse?
"Tell me more."
The nurse is speaking to the mother of a dying child about the best ways to manage pain and discomfort. Which is the best response by the nurse?
"We will provide pain medication around the clock to help prevent recurrence or escalation of pain."
Which child would the nurse identify as having the greatest risk for stomatitis and therefore needs meticulous oral hygiene?
A 7-year-old male with leukemia
A child is to receive radiation therapy this morning. The nurse would expect to see which type of drug prescribed to this child?
Antiemetic
The nurse is preparing to send a child with cancer for a radiation treatment. Which medication should the nurse provide to premedicate the child for this procedure?
Antiemetic
The parents of a 9-year-old girl who is dying from cancer are distraught and guilt-ridden when they find that treatment is no longer successful. What is the best way for the nurse to respond?
Assure the parents that expert care of their child will continue.
A child being treated for leukemia is diagnosed with neutropenia. What nursing instructions directly prevent client infections? Select all that apply.
Avoid large crowds. Inspect the skin daily for scratches or scrapes. Remove house plants, flowers, and goldfish from the home environment. Stay away from people who have obvious colds, rashes, or other infections.
A treatment team meeting is focused on care of children with bone tumors. The nurse is most correct to identify which characteristics anticipated in a client diagnosed with osteogenic sarcoma? Select all that apply.
The most common site is the distal femur. The lungs are a common site of metastasis.
Parents tell the nurse who is admitting their infant for a well-child exam that they recently saw a "white glow" in their child's left pupil. What is the nurse's best response?
"I will report this to the pediatrician."
