front 1 The nurse is caring for a child with retinoblastoma that was treated with enucleation what interventions should the nurse plan for care of an eye socket after enucleation?SATA | back 1 change the eye pad apply prescribed antibiotic ointment |
front 2 A 2 yo is suspected of having retinoblastoma the nurse recognizes which sign as being most characteristic of this disease? | back 2 Absent of red reflex |
front 3 which of the following cancers listed below have a genetic link as a causative factor? | back 3 Retinoblastoma |
front 4 A child has been diagnosed with a wilms tumor what should preoperative nursing care include? | back 4 Careful bating and handling |
front 5 The nurse is admitting a 4 yr old diagnosed with wilms tumor the child is scheduled for a right nephrectomy in the morning? | back 5 Instructions not to palpate the abdomen |
front 6 Where are wilms tumors(nephroblastoma) located? | back 6 Kidney |
front 7 A 3 yo with a wilms tumor is returning to the unit after surgery to remove the tumor which of the following is the highest post op priority for the nurse? | back 7 Monitor vital signs especially BP (b/c tumor of kidneys) |
front 8 The nurse should teach the family that which residual disabilities can occur for a child being treated for a brain tumor? (SATA) | back 8 Ataxia dysphagia sensory deficits crainal nerve palsies |
front 9 What best describes neuroblastoma? | back 9 The diagnosis is usually made after metasis occurs |
front 10 Accurate staging of which tumor is the mainstay of establishing initial treatment for a 12 month old infant with an abdominal mass that crosses the midline | back 10 Neuroblastoma |
front 11 Essential postoperative nursing management of a child after removal of a brain tumor includes which nursing care | back 11 Measuring all fluid intake and output |
front 12 What is included in the post operative care of a preschool child who has had a brain tumor removed | back 12 Carefully monitor fluids because of cerebral edema |
front 13 A school age child with leukemia experienced severe nausea and vomiting when recieving chemotherapy for the first time what is the most appropriate nursing action to prevent or minimize these reactions with subsequent treatments? | back 13 give antiemetic before chemotherapy begins |
front 14 After chemotherapy is begun for a child with acute leukemia prophylaxis to prevent acute tumor lysis syndrome includes which therapeutic intervention? | back 14 Hydration |
front 15 The nurse 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 intake? | back 15 Stop the drug infusion immediately |
front 16 The nurse is caring for a child recieving chemotherapy to prevent infections and other complications when the child's granulocyte count is 600/mm3 & platelet count is 45,000/mm3 what oral care should the nurse recommend? | back 16 Daily toothbrushing & flossing |
front 17 What immunization should not be given to a child recieving chemotherapy for cancer? | back 17 MMR Measels mumps rubella |
front 18 One pediatric oncologic emergency is acute tumor lysis syndrome symptoms that may be occurring include what? | back 18 Muscle cramps & tetany |
front 19 The nurse is caring for a 6 year old child with acute lymphoblastic leukemia(ALL) the parents states my child has a low platelet count & we are being discharged this afternoon what do I need to do at home what statement is appropriate for the nurse to make? | back 19 You should avoid contact sports or activities that cause bleeding |
front 20 A child with leukemia is admitted for chemotherapy & the nursing diagnosis altered nutrition less than body requirements related to anorexia nausea vomiting is identified which intervention the nurse included in this child plan of care? | back 20 Allow the child to eat any food desired and tolerated |
front 21 A child with acute lymphocytic leukemia (ALL) who is recieving chemotherapy via a subclavian IV site has an oral temp of 103 degrees. In assessing the IV site the nurse determines that there was no sign of infection at the site which intervention is the most important for the nurse to implement? | back 21 Obtain specimen for blood cultures |
front 22 What are the most common signs & symptoms of leukemia related to bone marrow involvement ? | back 22 Petechaie, fever and fatigue |
front 23 A 7 yo child with acute lymphatic leukemia is on steroids a common side effect of corticosteroid(prednisone) therapy is? | back 23 Weight gain |
front 24 Several 12 month old infants are brought to the clinic for routine immunizations which situation would be most important for the nurse to clarify with the provider before administering the vaccination? | back 24 Varicella zoster vaccine recently diagnosed with leukemia |
front 25 What are included in nursing considerations related to the administration of chemotherapeutic drugs? | back 25 Many chemotherapeutic agents are vesicants that can case severe cellular damage if drug infiltrates |
front 26 What is the most descriptive of the therapeutic management of osteogenic sarcoma? | back 26 Treatment usually consists of surgery and chemotherapy |
front 27 A toddler is admitted to the hospital and reports leg pain and fever assessment reveals the toddler is pale with body bruises the healthcare provider suspects acute lymphoblastic leukemia(ALL) the nurse will inform the parents that confirmation of the disease will be determines by which test? | back 27 Bone marrow biopsy |
front 28 Which of the following describes the pathophysiology of leukemia? | back 28 Unrestricted proliferation of immature white blood cells |
front 29 What pediatric oncologic emergencies are caused by the rapid release of intracellular metabolites during the initial treatment of some cancers? | back 29 Acute tumor lysis syndrome |