Question 1

The nurse is providing care to two children on a pediatric unit. One child is diagnosed with iron-deficiency anemia, and the other has sickle cell disease. Which manifestation does the nurse recognize as being different between the two children?

Accepted Answer

A child with sickle cell disease often experiences varying amounts of joint pain due to vaso-occlusive crises, which is not a characteristic of iron-deficiency anemia. Iron-deficiency anemia primarily causes symptoms related to the decreased oxygen-carrying capacity of the blood, such as fatigue and pallor, rather than pain.

Question 2

The nurse in a pediatric oncology unit understands that painful tests and treatments are common for children with cancer. Which interventions does the nurse decide to use to help manage pain for a 6-year-old patient scheduled for diagnostic testing?

Accepted Answer

Using age-appropriate language helps the child understand the procedure in a way that is suitable for their developmental level, reducing anxiety and helping them cope better with the situation.

Question 3

Identify one or more choices that best complete the statement or answer the question.
-A pediatric patient has acute myelocytic leukemia, and patient and family are considering treatment options aimed at long-term success. Which contemplated treatment involves using the patient's stem cells collected before radiation of cancerous bone marrow? Select all that apply.

Accepted Answer

Autologous stem cell transplantation involves collecting the patient's own stem cells before treatments like radiation or chemotherapy and then reintroducing them back into the patient's body after treatment. Peripheral blood stem cells (PBSC) collection is a method used in autologous transplants where stem cells are collected from the bloodstream, making choices B and C correct.

Question 4

The nurse is providing care for a 4-year-old child diagnosed with non-Hodgkin's lymphoma. The nurse is aware that multiple blood samples are ordered, and the child is scheduled for a lumbar puncture with bone marrow aspiration. Which intervention will the nurse plan to prepare the patient for the testing?

Accepted Answer

Using simple terms and providing a needless syringe for treatment on a stuffed animal is an effective way to prepare a 4-year-old child for medical procedures. This approach helps in reducing anxiety and increasing cooperation by making the procedures more understandable and less intimidating for the child.

Question 5

The nurse is preparing teaching materials for parents with children diagnosed with anemia. Which information will be marked as being specifically for the child diagnosed with sickle cell anemia?

Accepted Answer

Encouraging drinking as much fluids as possible is specifically important for children with sickle cell anemia because staying hydrated helps prevent the sickling of red blood cells, which can lead to pain crises and other complications associated with the disease.

Question 6

A 12-year-old patient is experiencing pain in the abdomen after receiving chemotherapy. When developing a care plan, for which interventions will the nurse plan for pain management?

Accepted Answer

The answer of A 12-year-old patient is experiencing pain in...

Question 7

Identify one or more choices that best complete the statement or answer the question.
-During the treatment of a preschool child for anemia, laboratory tests reveal the child is also positive for lead poisoning. The child is currently living in an older home being renovated by the parents. Which teaching does the nurse provide to the parents? Select all that apply.

Accepted Answer

The answer of Identify one or more choices that best...

Question 8

A 5-month-old infant is brought to the pediatrician's office, and the nurse is collecting information from the mother. The mother reports the infant is irritable, eats poorly, and is less active. The nurse identifies tachycardia and a systolic murmur. Which comment by the mother helps the nurse identify the infant's condition?

Accepted Answer

The comment about formula causing gas and constipation may suggest a gastrointestinal issue, which can be related to poor feeding and irritability, potentially indicating a condition like a milk protein allergy or intolerance.

Question 9

An 8-year-old child arrives at the emergency department with abdominal pain and fever. The child has a medical history of leukemia in remission. The nurse receives medical orders for the child. Which order does the nurse recognize as the priority?

Accepted Answer

Given the child's history of leukemia, even if it's in remission, the priority is to protect them from infections. Setting up neutropenic precautions (C) is essential to minimize the risk of infection in a potentially immunocompromised child.

Question 10

Identify one or more choices that best complete the statement or answer the question.
-A toddler who is 2 years of age is cared for by a grandmother because of the death of the toddler's mother from AIDS. A critical nursing intervention is for the nurse to provide home-care instructions. Which points should the nurse emphasize? Select all that apply.

Accepted Answer

The answer of Identify one or more choices that best...

Question 11

The parents of a 4-year-old toddler bring the child to the pediatrician because a lump is found in the toddler's waist area. Diagnostic testing verifies the toddler has a Wilms' tumor on the right kidney. The toddler is to be sent home until scheduled surgery. Which teaching is essential for the parents regarding preoperative care?

Accepted Answer

Avoiding palpation of the tumor is crucial to prevent rupture or spread of the tumor cells.

Question 12

Identify one or more choices that best complete the statement or answer the question.
-The nurse case manager is providing care and support to a mother with AIDS who has an infant who also tests positive for the condition. Which statement by the mother indicates to the nurse that additional teaching is needed? Select all that apply.

Accepted Answer

The answer of Identify one or more choices that best...

Question 13

The nurse is counseling a couple with a 3-year-old toddler diagnosed with hemophilia after experiencing excessive bleeding after a minor injury from a fall. Which teaching is most important for the nurse to provide to the parents?

Accepted Answer

Preventing injury is crucial for a child with hemophilia due to their increased risk of bleeding, even from minor injuries. Helmets and activity restrictions can help minimize this risk.

Question 14

A 16-year-old adolescent is diagnosed with osteosarcoma and has evidence of metastasis. The nurse calculates the absolute neutrophil count (ANC) daily. The patient asks the nurse to explain the ANC. Which information does the nurse provide?

Accepted Answer

The ANC (Absolute Neutrophil Count) is a measure of the number of neutrophil granulocytes (a type of white blood cell important for fighting off infections) present in the blood. It is used to assess a patient's risk for infection, especially in those undergoing chemotherapy or with conditions affecting the immune system. A lower ANC indicates a higher risk of infection.

Question 15

The nurse in a pediatric clinic is assessing an infant who is 6 months of age. The infant is pale with poor muscle tone. Auscultation reveals tachycardia; in addition, the infant is at the 35th percentile for both height and weight. The physician orders laboratory testing. Which laboratory value does the nurse expect?

Accepted Answer

The symptoms described (pale with poor muscle tone, tachycardia, and being at the 35th percentile for both height and weight) suggest anemia, which is often characterized by small, pale red blood cells (RBCs), indicating a deficiency in hemoglobin. This is consistent with the expected laboratory finding of RBCs that are small in size and pale (microcytic, hypochromic anemia).

Question 16

Identify one or more choices that best complete the statement or answer the question.
-An adolescent 16 years of age and the parents and health-care team agree that the patient is to undergo HSCT. Which specific nursing interventions will be included for the care of this patient? Select all that apply.

Accepted Answer

The answer of Identify one or more choices that best...

Question 17

The nurse is providing patient teaching for a school-age patient and parents. Chemotherapy is prescribed for cancer treatment. Before the first dose is administered on an outpatient basis, which teaching is most important for the nurse to provide?

Accepted Answer

Prompt recognition of adverse effects after chemotherapy is crucial for timely intervention and management, ensuring patient safety and comfort.

Question 18

A 9-year-old child is being treated for a brain tumor. The patient asks the nurse why there is pain in his head. Which reply by the nurse includes pathophysiology and age-appropriate communication?

Accepted Answer

The correct answer is C because it provides an age-appropriate explanation that includes pathophysiology. It explains that the growing brain tumor presses on nerves in the head, which can cause pain. This explanation is straightforward and avoids complex medical jargon, making it suitable for a 9-year-old child.

Question 19

A 19-year-old college student is being treated for non-metastatic Hodgkin's lymphoma with chemotherapy. Which recommendation by the nurse was made prior to beginning chemotherapy in order to promote a level of health?

Accepted Answer

Chemotherapy for Hodgkin's lymphoma can lead to temporary or permanent infertility due to its effects on sperm production. Sperm banking is a recommended option for preserving fertility for men who wish to have children in the future.

Question 20

Identify one or more choices that best complete the statement or answer the question.
-The nurse is providing care for an adolescent female who just gave birth to a neonate. The mother tests positive for HIV; however, the mother did not receive prenatal care. Based on the nurse's understanding about HIV/AIDS, which interventions does the nurse expect? Select all that apply.

Accepted Answer

The answer of Identify one or more choices that best...

Quiz 19: Hematological, Immunological, and Neoplastic Disorders

The nurse is providing care to two children on a pediatric unit. One child is diagnosed with iron-deficiency anemia, and the other has sickle cell disease. Which manifestation does the nurse recognize as being different between the two children?

The nurse in a pediatric oncology unit understands that painful tests and treatments are common for children with cancer. Which interventions does the nurse decide to use to help manage pain for a 6-year-old patient scheduled for diagnostic testing?

The nurse is preparing teaching materials for parents with children diagnosed with anemia. Which information will be marked as being specifically for the child diagnosed with sickle cell anemia?

A 12-year-old patient is experiencing pain in the abdomen after receiving chemotherapy. When developing a care plan, for which interventions will the nurse plan for pain management?

An 8-year-old child arrives at the emergency department with abdominal pain and fever. The child has a medical history of leukemia in remission. The nurse receives medical orders for the child. Which order does the nurse recognize as the priority?

The nurse is counseling a couple with a 3-year-old toddler diagnosed with hemophilia after experiencing excessive bleeding after a minor injury from a fall. Which teaching is most important for the nurse to provide to the parents?

A 16-year-old adolescent is diagnosed with osteosarcoma and has evidence of metastasis. The nurse calculates the absolute neutrophil count (ANC) daily. The patient asks the nurse to explain the ANC. Which information does the nurse provide?

The nurse is providing patient teaching for a school-age patient and parents. Chemotherapy is prescribed for cancer treatment. Before the first dose is administered on an outpatient basis, which teaching is most important for the nurse to provide?

A 9-year-old child is being treated for a brain tumor. The patient asks the nurse why there is pain in his head. Which reply by the nurse includes pathophysiology and age-appropriate communication?

A 19-year-old college student is being treated for non-metastatic Hodgkin's lymphoma with chemotherapy. Which recommendation by the nurse was made prior to beginning chemotherapy in order to promote a level of health?