Exam 33: Caring for the Child With Cancer

A nurse sees the term "proptosis" in a child's medical record.Which physical assessment does the nurse plan to incorporate into the child's exam based on this finding?

The nurse is teaching parents about the importance of good nutrition for their child who has cancer.Which components does the nurse include as important for this child's diet?

A student nurse wants to provide nonpharmacological pain management interventions to a hospitalized child with cancer.Which action by the student causes the faculty member to intervene?

A nurse is explaining radiation side effects to the parents of a child for whom it has been ordered.Which side effects does the nurse include in the explanation?

A neutropenic child is admitted to the hospital and placed in protective isolation.Which instruction does the nurse give the family to help maintain a safe environment for the child?

A child is getting induction therapy for Burkitt lymphoma.The nurse finds the child lethargic and complaining of side and back pain.The child's morning laboratory results indicate a serum calcium level of 7.2 mg/dL.What actions by the nurse are the most appropriate at this time?

A child has been diagnosed with chronic myelogenous leukemia (CML).Which statement by the nurse to the parents is most appropriate?

A child needs surgery to resect a tumor,but is scheduled for several weeks of radiation therapy first.The parents are frustrated and want to know why the surgery that can cure the cancer is being delayed.Which response by the nurse is the most appropriate?

A nurse is preparing to administer chemotherapy to a child who has an Infuse-a-Port.Which action by the nurse is the most appropriate?

A 7-year-old child presents to the emergency department,where the parent reports a 3-week history of pale skin,extreme fatigue,and dizziness.Which laboratory value would the nurse correlate with the patient's current condition?

A nurse is looking at photographs of a friend's infant.The nurse notes a whitish glow in the child's eyes,and the friend asks why the baby's eyes look so odd.Which response by the nurse is the most appropriate?

A child is 2 hours postoperative after a resection of a brain tumor.Which assessment by the nurse takes priority?

A child has the following laboratory values: WBC,7.2 mm³; bands,4%; and neutrophils,60%.Based on these values,which action by the nurse is the most appropriate?

A nursing student asks the faculty member to explain an oncogene.Which response by the faculty member is the most appropriate?

A child has liver cancer.The most recent results for the alpha-fetoprotein level show it has been reduced by 50%.Which statement by the nurse to the parents and child is most appropriate at this time?

The nurse is explaining types of solid tumors to a group of students.Which information does the nurse include?

A student nurse is preparing to administer odansetron (Zofran)to a child receiving chemotherapy.The child weighs 44 lb (20 kg).Which actions by the student nurse require intervention by the faculty?

A child has been cured of a retinoblastoma.When the parents ask how long monitoring for bone-related complications of radiation therapy should continue,which is the most appropriate response by the nurse?

A nurse notes in a patient's medical record high levels of vanillymandelic acid (VMA).Based on this information,which condition does the nurse prepare to educate the patient and family about?

The nurse is completing an admission assessment on a 3-year-old child.The child's Humpty Dumpty score is 15.Which action by the nurse is the most appropriate?