Question 1

Why would the nurse urge the family of a dying 12-year-old boy to include his 8-year-old sister in care? Select all that apply.
A) She will feel less neglected by the parents.
B) She can make amends for past hostilities to her brother.
C) She will feel less helpless.
D) She can express her feelings through care.
E) She can experience being supportive of her parents and brother.
F) None of the above

Accepted Answer

All options are potential benefits to including the sibling in the care of a dying child.

Question 2

The nurse takes into consideration that hemophilia A is a congenital disorder that is:
A) seen in males and females equally.
B) transmitted by symptom-free females.
C) a sex-linked dominant trait.
D) a defective gene located on the Y chromosome.

Accepted Answer

Hemophilia A affects mostly males who received the sex-linked recessive trait from a symptom-free female.The defective gene is on the X chromosome.

Question 3

The most recent blood count for a child who received chemotherapy last week shows neutropenia.The priority nursing diagnosis for this child is:
A) risk for infection.
B) risk for hemorrhage.
C) altered skin integrity.
D) disturbance in body image.

Accepted Answer

The child with neutropenia is at risk for infection.

Question 4

The nurse confirms that sickle cell trait can be distinguished from sickle cell disease by a lab test called ________________.

Accepted Answer

The answer of The nurse confirms that sickle cell trait...

Question 5

The nurse explains that the COPP medical regimen for the treatment of Hodgkin's disease uses a combination of which drugs? Select all that apply.
A) Vincristine
B) Cyclophosphamide
C) Methotrexate
D) Prednisone
E) Procarbazine hydrochloride

Accepted Answer

The COPP medical regimen includes the combination of cyclophosphamide,vincristine (Oncovin),prednisone,and procarbazine hydrochloride.

Question 6

What are the classic symptoms of thalassemia major (Cooley's anemia)? Select all that apply.
A) Hepatomegaly
B) Jaundice
C) Protruding teeth
D) Pathological fractures
E) Cardiac failure
F) None of the above

Accepted Answer

All of the options are classic signs of thalassemia major.

Question 7

The family of a child receiving chemotherapy for leukemia should be taught to focus on which aspect(s)of the child's care? Select all that apply.
A) Using a support group
B) Stimulating appetite
C) Maintaining adequate hydration
D) Continuing with scheduled immunizations
E) Reporting exposure to infectious diseases

Accepted Answer

Support groups are helpful for emotional support and realistic tips on care.The child on chemotherapy is anorexic and has no appetite.Maintenance of hydration is essential for the adequate therapeutic effect of the drugs.Because the drugs suppress the bone marrow,children are at risk for infection,and the suppression will not allow the antibody response needed for immunization.

Question 8

What should be included in the nursing care of a 12-year-old child receiving radiation therapy for Hodgkin's disease? Select all that apply.
A) Application of sunblock
B) Appetite stimulation
C) Conservation of energy
D) Provision for expressions of anger
E) Preparation for premature sexual development

Accepted Answer

Sun block should be applied to skin after radiation to prevent burning.Low energy levels produce anorexia and anger in many young patients.Radiation delays the development of secondary sex characteristics and menses.

Question 9

To prevent ________________ ________________ the nurse warms the blood that is to be given as a transfusion through a central line.

Accepted Answer

The answer of To prevent ________________ ________________ the nurse warms...

Question 10

The nurse finds an adolescent with Hodgkin's disease crying.The adolescent says,"I am so scared." The most appropriate nursing response to this comment is:
A) "I understand how you must feel. "
B) "You shouldn't feel that way. "
C) "Is this the strongest feeling you've had today?"
D) "Tell me what's got you scared. "

Accepted Answer

The nurse should encourage the adolescent to express her feelings and concerns.

Question 11

The nurse shows slides of red blood cells from a child with sickle cell disease,noting that in addition to their sickle shape,the cells contain the abnormal element of ______________ _____.

Accepted Answer

The answer of The nurse shows slides of red blood...

Question 12

How has synthetic recombinant antihemophilic factor improved the management of hemophilia? Select all that apply.
A) Eliminates the need for frequent transfusions
B) Can be administered by family at home
C) Prevents hemorrhage
D) Reduces cost of care of the hemophiliac
E) Reduces risk of HIV and hepatitis A and B transmission

Accepted Answer

The drug can be given at home by the family.Because it supplies the missing factor,transfusions are not necessary and consequently the exposure to HIV and hepatitis A and B is reduced.Cost of care is greatly reduced because hospitalizations and transfusions are not as frequently required.The drug does not prevent hemorrhage;it makes hemorrhage manageable.

Question 13

The nurse takes into consideration an important focus of nursing care for the dying child and the family,which is that:
A) nursing care should be organized to minimize contact with the child.
B) adequate oral intake is crucial to the dying child.
C) families should be made aware that hearing is the last sense to stop functioning before death.
D) it is best for the family if the nursing staff provides all of the child's care.

Accepted Answer

Hearing is intact even when there is a loss of consciousness.

Quiz 27: The Child with a Condition of the Blood, Blood-Forming Organs, or

Why would the nurse urge the family of a dying 12-year-old boy to include his 8-year-old sister in care? Select all that apply.

The nurse takes into consideration that hemophilia A is a congenital disorder that is:

The most recent blood count for a child who received chemotherapy last week shows neutropenia.The priority nursing diagnosis for this child is:

The nurse confirms that sickle cell trait can be distinguished from sickle cell disease by a lab test called ________________.

The nurse explains that the COPP medical regimen for the treatment of Hodgkin's disease uses a combination of which drugs? Select all that apply.

What are the classic symptoms of thalassemia major (Cooley's anemia) ? Select all that apply.

The family of a child receiving chemotherapy for leukemia should be taught to focus on which aspect(s) of the child's care? Select all that apply.

What should be included in the nursing care of a 12-year-old child receiving radiation therapy for Hodgkin's disease? Select all that apply.

To prevent the nurse warms the blood that is to be given as a transfusion through a central line.

The nurse finds an adolescent with Hodgkin's disease crying.The adolescent says,"I am so scared." The most appropriate nursing response to this comment is:

The nurse shows slides of red blood cells from a child with sickle cell disease,noting that in addition to their sickle shape,the cells contain the abnormal element of __________ _.

How has synthetic recombinant antihemophilic factor improved the management of hemophilia? Select all that apply.

The nurse takes into consideration an important focus of nursing care for the dying child and the family,which is that: