Question 1

Which general manifestations should the nurse monitor for when conducting a physical assessment for a pediatric client who is diagnosed with cancer? (Select all that apply.)

Accepted Answer

When conducting a physical assessment for a pediatric client who is diagnosed with cancer, the nurse should monitor for general manifestations such as infection, petechiae, pain, and cachexia. Polycythemia is not a common manifestation of pediatric cancer.

Question 2

Which is the priority nursing intervention for a pediatric client diagnosed with leukemia who has a granulocyte count of 250/mm³ and a platelet count of 150,000/mm³?

Accepted Answer

D

Question 3

The nurse is preparing to administer a blood transfusion to a child with severe anemia.Which type of transfusion reaction can be avoided by the nurse's assessment?

Accepted Answer

Hemolytic transfusion reactions occur when incompatible blood is administered to the patient. This can be avoided if the nurse carefully checks the patient's blood type and the blood being transfused to ensure compatibility. Allergic reactions may also occur, but they are usually mild and can be managed with antihistamines. Febrile and septic reactions are unrelated to blood type compatibility and are more related to the presence of bacteria or other infectious agents in the blood product being transfused. However, these can still be monitored and managed by the nurse.

Question 4

A child diagnosed with aplastic anemia is admitted to the hospital.The parents ask the nurse what aplastic anemia is.Which response by the nurse is accurate?

Accepted Answer

Aplastic anemia is a condition where the bone marrow is unable to produce enough red blood cells, white blood cells, and platelets. This causes the person to be at risk for infections, bleeding, and fatigue. Option A is incorrect because aplastic anemia does not cause an overproduction of white blood cells. Option B is incorrect because aplastic anemia affects all blood cells, not just red blood cells. Option D is incorrect because while some cases of aplastic anemia may be triggered by a viral illness, it is not the only cause.

Question 5

The nurse is providing care to a child diagnosed with cancer.Laboratory results indicate anemia.On the basis of the laboratory results,which clinical manifestations do(es)the nurse anticipate? (Select all that apply.)

Accepted Answer

The answer of The nurse is providing care to a...

Question 6

The pediatric nurse explains to a parent that his child's sarcoma arises from which type of tissue?

Accepted Answer

Sarcomas arise from connective tissue, which includes bone, muscle, cartilage, and other types of tissue that provide structural support to the body. They are different from carcinomas, which arise from epithelial tissue (the lining of organs and glands). Lymphatic tissue and glandular tissue can also give rise to cancers, but not sarcomas specifically.

Question 7

A school-aged African American male is brought to an emergency department (ED)by his parents with a vaso-occlusive crisis.When caring for this child,the nurse monitors for which conditions during the assessment? (Select all that apply.)

Accepted Answer

A vaso-occlusive crisis is a common complication of sickle cell disease, which can cause blocked blood flow and tissue damage, particularly in the extremities. The nurse should monitor for acute chest syndrome, a life-threatening complication of sickle cell disease that results from blocked blood vessels in the lungs. The nurse should also monitor for splenic sequestration, which occurs when blood pools in the spleen, causing it to enlarge and reducing the amount of blood in circulation, leading to shock. Finally, the nurse should also monitor for leg ulcerations, which are common in sickle cell disease and can cause pain, infection, and delayed healing. Uncontrolled bleeding is not a typical complication of vaso-occlusive crisis, and diuresis is not relevant to this particular condition.

Question 8

A hematologist diagnoses a school-aged child with thrombocytopenia.When educating the parents of the child about this condition,which description of the disease does the nurse include?

Accepted Answer

Thrombocytopenia is a condition where there is a decrease in platelets. It is important for the parents to understand this so they can help manage and monitor their child's condition.

Question 9

The clinic nurse conducts an interview with an adolescent diagnosed with beta-thalassemia and his parents.Prior to planning the adolescent's care,which should the nurse take into consideration? (Select all that apply.)

Accepted Answer

A) Incorrect. There is currently no known cure for beta-thalassemia.
B) Correct. Chronic blood transfusion therapy can result in hemosiderosis, a condition where excess iron builds up in the body's tissues and organs, potentially leading to organ damage.
C) Correct. Patients with beta-thalassemia are often asplenic, meaning they do not have a spleen or have a non-functioning spleen, and are therefore more susceptible to infections. Hand washing and infection prevention measures are crucial to prevent infections.
D) Correct. Patients with beta-thalassemia may have compromised immune systems and are more susceptible to infections. If a patient with beta-thalassemia has a fever, antibiotic prophylaxis may be indicated to prevent a serious infection from developing.
E) Incorrect. While pain management may be necessary for patients with beta-thalassemia, administering pain medication around the clock is not specifically related to considerations for this disorder.

Question 10

Which is the priority teaching point for the nurse to include in the discharge instructions for the parents of a child who was admitted in a sickle cell crisis?

Accepted Answer

Adequate hydration is the priority teaching point for a child who was admitted in a sickle cell crisis. Sickle cell crisis is triggered by various factors such as dehydration, infection, and hypoxia. Adequate hydration can help prevent vaso-occlusive crisis, which is a painful occurrence that can lead to organ damage. The other options may also be important but are not as high of a priority as hydration.

Question 11

A school-aged child is tentatively diagnosed with acute lymphocytic leukemia.The clinic nurse reviews the child's laboratory results and recognizes that which finding reflects the best prognosis?

Accepted Answer

The answer of A school-aged child is tentatively diagnosed with...

Question 12

The parents of an infant diagnosed with sickle cell disease ask,"How did our child get this disease? Neither one of us has it." Which should the nurse consider when responding to the parents?

Accepted Answer

Sickle cell disease is inherited in an autosomal recessive pattern, meaning that for a child to have the disease, both parents must carry at least one copy of the mutated gene (have the sickle cell trait). If both parents have the trait, there is a 25% chance with each pregnancy that the child will inherit two copies of the mutated gene and have sickle cell disease.

Question 13

On the basis of a child's complaint of abdominal pain,the nurse suspects a Wilms' tumor.An abdominal mass associated with a Wilms' tumor will be detected in which location?

Accepted Answer

A Wilms' tumor is usually detected as an abdominal mass on one side, most commonly the left side. It is very rare for it to present on both sides or on all sides of the abdomen.

Question 14

When talking to the parents of a school-aged cancer patient,the pediatric nurse identifies which as the most common cancer found in children?

Accepted Answer

Acute lymphocytic leukemia is the most common cancer found in children, accounting for approximately 34% of childhood cancers.

Question 15

Which parental statement indicates correct understanding of information presented regarding the treatment for infant anemia?

Accepted Answer

The correct treatment for infant anemia is to begin an iron-fortified infant cereal at 4 to 6 months of age. Adding green leafy vegetables to a low-iron formula may not be sufficient to correct anemia. Discontinuing vitamin C supplements may actually worsen the anemia as vitamin C is necessary for the absorption of iron. Introducing cow's milk by 6 months of age is not recommended as it does not provide the necessary nutrients for infants and can lead to iron deficiency anemia.

Question 16

Which nursing action is appropriate when treating a school-aged child diagnosed with hemophilia for a superficial wound above the knee?

Accepted Answer

Applying pressure to the area will help to control any bleeding that may occur due to the child's hemophilia. Using a warm, moist pack may actually increase bleeding, and passive range of motion or keeping the affected extremity in a dependent position is not necessary for a superficial wound.

Question 17

The pediatric nurse teaches the parents of a preschool-aged child diagnosed with anemia that it is important to identify the cause of anemia so treatment can be tailored to their child's specific needs.The nurse tells the parents that their child's anemia is caused by an increased destruction of red blood cells that occurs with which condition noted in the medical history?

Accepted Answer

Sickle cell anemia is a genetic disorder that causes red blood cells to become crescent-shaped, rigid, and fragile, leading to their destruction and ultimately anemia. It is important to identify the cause of anemia so that appropriate treatment can be initiated, which may include regular blood transfusions, pain management, and education about avoiding triggers for sickle cell crisis.

Question 18

Which primary function of red blood cells (RBCs)should the nurse consider when providing care to a pediatric patient who has been diagnosed with anemia?

Accepted Answer

The primary function of RBCs is to transport oxygen from the lungs to the tissues throughout the body. In a patient with anemia, their RBCs may be decreased in number or function, resulting in decreased oxygen delivery to tissues and organs. Therefore, the nurse should consider the importance of RBCs in oxygen transport when providing care to this patient.

Question 19

The pediatric nurse plans care for a child experiencing a sickle cell crisis.Which nursing intervention is appropriate for this patient?

Accepted Answer

Monitoring respiratory status and oxygenation is important in a sickle cell crisis as the sickled red blood cells can obstruct blood flow and cause tissue hypoxia, leading to acute chest syndrome. This can result in respiratory distress and can be life-threatening. Therefore, the nurse should closely monitor the patient's respiratory status and oxygenation to detect any signs of acute chest syndrome and implement appropriate interventions promptly. Encouraging increased activity can worsen the crisis as it can increase oxygen demand and cause pain. Using only nonpharmacological pain interventions may not be sufficient to manage the acute pain associated with a sickle cell crisis. Implementing fluid restrictions can exacerbate dehydration and vaso-occlusive crisis, leading to more pain and tissue damage.

Question 20

The nurse is administering packed red blood cells to a child with sickle-cell disease (SCD).When should the nurse monitor the child closely because of the risk of reaction?

Accepted Answer

The first 20 mL of blood administered should be monitored closely for any sign of reaction, especially in children with SCD who are at higher risk for transfusion reactions. Therefore, it is important for the nurse to be vigilant and monitor the child closely during this time period.

Quiz 40: Child With an Oncological or Hematological Condition

Which general manifestations should the nurse monitor for when conducting a physical assessment for a pediatric client who is diagnosed with cancer? (Select all that apply.)

Which is the priority nursing intervention for a pediatric client diagnosed with leukemia who has a granulocyte count of 250/mm³ and a platelet count of 150,000/mm³?

The nurse is preparing to administer a blood transfusion to a child with severe anemia.Which type of transfusion reaction can be avoided by the nurse's assessment?

A child diagnosed with aplastic anemia is admitted to the hospital.The parents ask the nurse what aplastic anemia is.Which response by the nurse is accurate?

The nurse is providing care to a child diagnosed with cancer.Laboratory results indicate anemia.On the basis of the laboratory results,which clinical manifestations do(es) the nurse anticipate? (Select all that apply.)

The pediatric nurse explains to a parent that his child's sarcoma arises from which type of tissue?

A school-aged African American male is brought to an emergency department (ED) by his parents with a vaso-occlusive crisis.When caring for this child,the nurse monitors for which conditions during the assessment? (Select all that apply.)

A hematologist diagnoses a school-aged child with thrombocytopenia.When educating the parents of the child about this condition,which description of the disease does the nurse include?

The clinic nurse conducts an interview with an adolescent diagnosed with beta-thalassemia and his parents.Prior to planning the adolescent's care,which should the nurse take into consideration? (Select all that apply.)

Which is the priority teaching point for the nurse to include in the discharge instructions for the parents of a child who was admitted in a sickle cell crisis?

A school-aged child is tentatively diagnosed with acute lymphocytic leukemia.The clinic nurse reviews the child's laboratory results and recognizes that which finding reflects the best prognosis?

The parents of an infant diagnosed with sickle cell disease ask,"How did our child get this disease? Neither one of us has it." Which should the nurse consider when responding to the parents?

On the basis of a child's complaint of abdominal pain,the nurse suspects a Wilms' tumor.An abdominal mass associated with a Wilms' tumor will be detected in which location?

When talking to the parents of a school-aged cancer patient,the pediatric nurse identifies which as the most common cancer found in children?

Which parental statement indicates correct understanding of information presented regarding the treatment for infant anemia?

Which nursing action is appropriate when treating a school-aged child diagnosed with hemophilia for a superficial wound above the knee?

Which primary function of red blood cells (RBCs) should the nurse consider when providing care to a pediatric patient who has been diagnosed with anemia?

The pediatric nurse plans care for a child experiencing a sickle cell crisis.Which nursing intervention is appropriate for this patient?

The nurse is administering packed red blood cells to a child with sickle-cell disease (SCD) .When should the nurse monitor the child closely because of the risk of reaction?

Quiz 40: Child With an Oncological or Hematological Condition

Which general manifestations should the nurse monitor for when conducting a physical assessment for a pediatric client who is diagnosed with cancer? (Select all that apply.)

Which is the priority nursing intervention for a pediatric client diagnosed with leukemia who has a granulocyte count of 250/mm3 and a platelet count of 150,000/mm3?

The nurse is preparing to administer a blood transfusion to a child with severe anemia.Which type of transfusion reaction can be avoided by the nurse's assessment?

A child diagnosed with aplastic anemia is admitted to the hospital.The parents ask the nurse what aplastic anemia is.Which response by the nurse is accurate?

The nurse is providing care to a child diagnosed with cancer.Laboratory results indicate anemia.On the basis of the laboratory results,which clinical manifestations do(es) the nurse anticipate? (Select all that apply.)

The pediatric nurse explains to a parent that his child's sarcoma arises from which type of tissue?

A school-aged African American male is brought to an emergency department (ED) by his parents with a vaso-occlusive crisis.When caring for this child,the nurse monitors for which conditions during the assessment? (Select all that apply.)

A hematologist diagnoses a school-aged child with thrombocytopenia.When educating the parents of the child about this condition,which description of the disease does the nurse include?

The clinic nurse conducts an interview with an adolescent diagnosed with beta-thalassemia and his parents.Prior to planning the adolescent's care,which should the nurse take into consideration? (Select all that apply.)

Which is the priority teaching point for the nurse to include in the discharge instructions for the parents of a child who was admitted in a sickle cell crisis?

A school-aged child is tentatively diagnosed with acute lymphocytic leukemia.The clinic nurse reviews the child's laboratory results and recognizes that which finding reflects the best prognosis?

The parents of an infant diagnosed with sickle cell disease ask,"How did our child get this disease? Neither one of us has it." Which should the nurse consider when responding to the parents?

On the basis of a child's complaint of abdominal pain,the nurse suspects a Wilms' tumor.An abdominal mass associated with a Wilms' tumor will be detected in which location?

When talking to the parents of a school-aged cancer patient,the pediatric nurse identifies which as the most common cancer found in children?

Which parental statement indicates correct understanding of information presented regarding the treatment for infant anemia?

Which nursing action is appropriate when treating a school-aged child diagnosed with hemophilia for a superficial wound above the knee?

Which primary function of red blood cells (RBCs) should the nurse consider when providing care to a pediatric patient who has been diagnosed with anemia?

The pediatric nurse plans care for a child experiencing a sickle cell crisis.Which nursing intervention is appropriate for this patient?

The nurse is administering packed red blood cells to a child with sickle-cell disease (SCD) .When should the nurse monitor the child closely because of the risk of reaction?

Which is the priority nursing intervention for a pediatric client diagnosed with leukemia who has a granulocyte count of 250/mm³ and a platelet count of 150,000/mm³?