Exam 31: The Child with Cancer

A health care provider prescribes Osmitrol (mannitol) 0.25 g/kg intravenously (IV) every 6 hours for a child after a brain tumor removal. The child weighs 20 kg. The medication label states: "Osmitrol (Mannitol) 250 mg/1 ml." The nurse prepares to administer the dose. How many milliliters will the nurse prepare to administer the dose? Fill in the blank. Record your answer in a whole number. ________________

What immunization should not be given to a child receiving chemotherapy for cancer?

A child with cancer being treated with chemotherapy is receiving a platelet transfusion. The nurse understands that the transfused platelets should survive the body for how many days?

The nurse is caring for a 6-year-old child with acute lymphoblastic leukemia (ALL). The parent states, "My child has a low platelet count, and we are being discharged this afternoon. What do I need to do at home?" What statement is most appropriate for the nurse to make?

What is appropriate mouth care for a toddler with mucosal ulceration related to chemotherapy?

What type of chemotherapeutic agent alters the function of cells by replacing a hydrogen atom of a molecule?

Calculate the absolute neutrophil count for a child with a WBC = 15,000/mm³, neutrophils = 29%, and nonsegmented neutrophils (bands) = 29%. Record your answer in a whole number. _____________

What strategies should the nurse implement to increase nutritional intake for the child receiving chemotherapy? (Select all that apply.)

Calculate the absolute neutrophil count for a child with a WBC = 6000/mm³, neutrophils = 18%, and nonsegmented neutrophils (bands) = 20%. Record your answer below in a whole number. ____________

The nurse should teach the family that which residual disabilities can occur for a child being treated for a brain tumor? (Select all that apply.)

Postoperative positioning for a child who has had a medulloblastoma brain tumor (infratentorial) removed should be which?

What specific gravity of the urine is desired so that hemorrhagic cystitis is prevented?

A child with leukemia is receiving intrathecal chemotherapy to prevent which condition?

The nurse is preparing a child for possible alopecia from chemotherapy. What information should the nurse include?

After chemotherapy is begun for a child with acute leukemia, prophylaxis to prevent acute tumor lysis syndrome includes which therapeutic intervention?

What are the most common clinical manifestations of brain tumors in children?

A child with osteosarcoma is experiencing phantom limb pain after an amputation. What prescribed medication is effective for short-term phantom pain relief?

The nurse is collecting a 24-hour urine sample on a child with suspected diagnosis of neuroblastoma. What finding in the urine is expected with neuroblastomas?

A school-age child with leukemia experienced severe nausea and vomiting when receiving chemotherapy for the first time. What is the most appropriate nursing action to prevent or minimize these reactions with subsequent treatments?

What guidelines should the nurse follow when handling chemotherapeutic agents? (Select all that apply.)