Question 1

The adolescent female who is receiving chemotherapy for cancer will be advised by the nurse of which of the following?

Accepted Answer

Chemotherapy can cause a decrease in platelet count, increasing the risk of bleeding. Using pads instead of tampons can help reduce the risk of infection and irritation.

Question 2

The nurse is giving instructions to the family of a child who has a venous access device (VAD). This child's VAD is an external catheter. Which of the following instructions will the nurse give to the family?

Accepted Answer

C  The nurse will instruct the family not to force-flush the catheter to avoid damage and to call if there are issues with flushing. Additionally, the child should avoid swimming and tub baths to prevent infection and damage to the VAD.

Question 3

The nurse assigned to work with the child who has had whole brain radiation assesses the child and finds that the child is sleeping up to 20 hours a day and is having some nausea and malaise, a fever, and dysphasia. Based on this assessment, the nurse will work with the parents in which of the following areas?

Accepted Answer

The symptoms described (sleeping up to 20 hours a day, nausea, malaise, fever, and dysphasia) are consistent with side effects of radiation therapy rather than indicators of the child's imminent death or tumor recurrence. Therefore, the nurse would focus on helping the parents deal with the side effects of radiation therapy.

Question 4

Which of the following are the most common presenting signs of acute lymphocytic leukemia (ALL)?

Accepted Answer

Fever, bone pain, pallor, and bruising are among the most common presenting signs of acute lymphocytic leukemia (ALL). These symptoms are related to bone marrow failure and infiltration by leukemic cells, leading to anemia (pallor), thrombocytopenia (bruising), and infection (fever). Bone pain is directly related to the expansion of the bone marrow space by leukemic cells.

Question 5

The nurse caring for a child with acute lymphocytic leukemia is aware that once chemotherapy begins, there is a release of purines from the destroyed leukemic lymphoblasts, which can lead to which of the following problems?

Accepted Answer

The release of purines from destroyed leukemic cells during chemotherapy can lead to tumor lysis syndrome, a condition characterized by metabolic abnormalities such as hyperuricemia, which can cause kidney damage.

Question 6

What is the most common type of central nervous system tumor in children?

Accepted Answer

Astrocytomas are the most common type of central nervous system tumor in children, encompassing a range of tumors that can vary greatly in their location, aggressiveness, and treatment options.

Question 7

A child is said to be a "long-term survivor" then he has been off cancer therapy for a minimum of two years and is in remission for ____________________ years.

Accepted Answer

The answer of A child is said to be a...

Quiz 29: Cellular Alterations

The adolescent female who is receiving chemotherapy for cancer will be advised by the nurse of which of the following?

The nurse is giving instructions to the family of a child who has a venous access device (VAD) . This child's VAD is an external catheter. Which of the following instructions will the nurse give to the family?

Which of the following are the most common presenting signs of acute lymphocytic leukemia (ALL) ?

The nurse caring for a child with acute lymphocytic leukemia is aware that once chemotherapy begins, there is a release of purines from the destroyed leukemic lymphoblasts, which can lead to which of the following problems?

What is the most common type of central nervous system tumor in children?

A child is said to be a "long-term survivor" then he has been off cancer therapy for a minimum of two years and is in remission for ____________________ years.