Exam 31: The Child With Cancer

The health care provider prescribes ceftazidime (Fortaz)75 mg per intravenous piggyback (IVPB)every 8 hours for a child with cancer admitted with fever and neutropenia.The pharmacy sends the medication to the unit in a 50-ml bag with directions to run the medication over 30 minutes.What milliliters per hour will the nurse set the intravenous pump to run the medication over 30 minutes? Fill in the blank and record your answer in a whole number. _____________

One pediatric oncologic emergency is acute tumor lysis syndrome.Symptoms that this may be occurring include what?

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

The nurse is precepting a new graduate nurse at an ambulatory pediatric hematology and oncology clinic.What cardinal signs of cancer in children should the nurse make the new nurse aware of?

In teaching parents how to minimize or prevent bleeding episodes when the child is myelosuppressed,the nurse includes what information?

Daily toothbrushing and flossing can be encouraged for the child on chemotherapy when the platelet count is above which?

What is an important priority in dealing with the child suspected of having Wilms tumor?

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

A parent of a hospitalized child on chemotherapy asks the nurse if a sibling of the hospitalized child should receive the varicella vaccination.The nurse should give which response?

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

What description identifies the pathophysiology of leukemia?

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. _____________

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 are favorable prognostic criteria for acute lymphoblastic leukemia?

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. ____________

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?

The nurse is administering an intravenous chemotherapeutic agent to a child with leukemia.The child suddenly begins to wheeze and have severe urticaria.What nursing action is most appropriate to initiate?

The nurse should expect to care for which age of child if the admitting diagnosis is retinoblastoma?

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?