Exam 33: Caring for the Child With Cancer

A child is receiving chemotherapy.The nurse assesses the child's oral cavity and notes the following: raspy voice,thick saliva,and debris on the teeth.Which action by the nurse is the most appropriate?

A 4-year-old child is several days postoperative after a resection of a brain tumor.The nurse finds the child irritable and lethargic,and notes that she has vomited.Which medication does the nurse anticipate administering?

A nurse is reviewing a patient's chart and notes that the patient has a cancerous tumor that has invaded other organs.Based on this information,at which stage is this patient's cancer classified?

A nursing faculty member explains to the class that which item is the most important for tumor cell growth?

A clinic nurse notes that a child brought in for a physical has swelling and bruising around the eyes.The patient denies any trauma and the parent reports no environmental allergies.Which assessment is most important?

A pediatric patient is receiving asparaginase (Elspar).What manifestations would lead the nurse to determine that the child is having a possible side effect from this drug?

A nurse has a RN preceptor student working on the pediatric oncology unit.When teaching the student about oncological crises,what disorders does the nurse include?

A child is being admitted with an infratentorial brain tumor.Which anatomical regions of the brain does the nurse know this tumor might include?

An 8-year-old child has been diagnosed with a brain tumor.Based on knowledge of childhood cancers,which intervention does the nurse plan to implement when the child is admitted to the hospital?

A nursing student is caring for a child diagnosed with Wilms' tumor.Which action by the student causes the faculty member to intervene?

A nurse is caring for a child who is scheduled to have intrathecal chemotherapy today.Which action by the nurse is most important when providing care to this patient and family?

The staff nurse is educating nursing students on the long-term effects of childhood chemotherapy.Which problems does the nurse include in the educational session?

A student is learning about the process of hematopoiesis and how it is affected by leukemia.Which information does the student discover?

A nurse caring for a child receiving chemotherapy notes that the child's urine specific gravity is 1.010.Which action by the nurse is the most appropriate?

A nurse works on a pediatric oncology unit.After receiving report,which child should the nurse assess first?

The nurse working with pediatric oncology patients educates the patients and families regarding best long-term follow-up practices.Which recommendations does this include?

A child has nausea after chemotherapy despite anti-emetics.However,the child complains that "my tummy is growling." Which other action should the nurse take to promote comfort for this child?

A parent brings a 10-year-old child to the clinic,reporting that the child fell while playing and now has a limp several days later.In completing a history,which other finding would the nurse correlate more with bone cancer than a minor trauma?

A nurse is caring for several patients with acute lymphocytic leukemia (ALL).Which children does the nurse understand have the best prognosis?

A child is being discharged after surgical resection of a retinoblastoma with enucleation.Which discharge instruction is most important based on the diagnosis?