Exam 33: Caring for the Child With Cancer

A child has cancer,is unresponsive,and is doing poorly.Which action by the nursing student causes the faculty to intervene?

A nurse is caring for a child who has acute lymphocytic leukemia and has been treated with doxorubicin (Adriamycin).Which assessment finding would the nurse report immediately?

A nurse hears that a new admission to the hospital was recently diagnosed with the most common kind of childhood cancer.Which collaborative care does the nurse prepare to provide to this patient?

A parent confides to the nurse that a friend,who is 32,has been diagnosed with Hodgkin's disease.The parent says "I thought only children get that!" What response by the nurse is the most appropriate?

A parent brings a child to the clinic and reports that the child is reluctant to walk and has a new limp.The parent also reports that the child seems lethargic and tired all the time.The nurse notes that the child appears pale.Which other finding would warrant immediate notification of the health-care provider?

A nurse is caring for four patients who have Hodgkin's lymphoma.Which child should the nurse see first?

Prior to administering IV chemotherapy,which action by the nurse is most important?

A child is admitted and is scheduled to receive intravenous asparginase (Elspar).Which action by the nurse is most important when administering this medication?

The nurse is teaching a community group about early warning signs of cancer.Which signs does the nurse include?

The parents of a child with cancer ask the nurse why the child is losing weight even though he is eating what he normally does.Which response by the nurse is the most appropriate?

A child is in the hospital receiving chemotherapy for Hodgkin's lymphoma.What action by a new nurse causes the precepting nurse to intervene?

A child has been admitted with a paraspinal Ewing's sarcoma.The nursing instructor questions the student about assessing for signs of spinal cord compression.Which manifestations does this include?

A nurse works on the pediatric oncology floor.After receiving the handoff report,which child does the nurse assess first?

The student nurse studying childhood cancers understands that neoplasms are caused by which factors?

A nurse assesses a toddler using the FLACC score.The child is kicking and crying steadily.The mother is upset,as she is unable to console the child.Which action by the nurse is most appropriate?