Question 1

A child is prescribed monthly injections of vitamin B₁₂. When developing the teaching plan for the family, the nurse would focus on which type of anemia?

Accepted Answer

Pernicious anemia is treated with vitamin B12 injections, as it involves a deficiency in vitamin B12 absorption.

Question 2

A nurse is leading a discussion with a group of new mothers about newborn nutrition and its importance for growth and development. One of the mothers asks, "Doesn't the baby get iron from me before birth?" Which response by the nurse would be most appropriate?

Accepted Answer

The answer of A nurse is leading a discussion with...

Question 3

A 5-year-old girl is diagnosed with iron-deficiency anemia and is to receive iron supplements. The child has difficulty swallowing tablets, so a liquid formulation is prescribed. After teaching the parents about administering the iron supplement, which statement indicates the need for additional teaching?

Accepted Answer

Placing the liquid iron supplement in the front of the gums, just below the teeth, is incorrect because it can stain the teeth. The correct method is to administer the liquid towards the back of the mouth or to mix it with water or another liquid to prevent teeth staining.

Question 4

The nurse is assessing a child with aplastic anemia. Which of the following would the nurse expect to assess? Select all that apply.

Accepted Answer

The answer of The nurse is assessing a child with...

Question 5

An adolescent weighing 55 kg is admitted to the hospital experiencing a sickle cell crisis. Intravenous fluid therapy as well as increased oral fluids are ordered as part of his treatment plan. Based on the understanding of the amount of fluids needed to promote hemodilution, the nurse would expect the adolescent to receive how much total fluid in 24 hours?

Accepted Answer

The answer of An adolescent weighing 55 kg is admitted...

Question 6

The nurse is developing a plan of care for a child with thalassemia. Which of the following would the nurse expect to include? Select all that apply.

Accepted Answer

Packed RBC transfusions are necessary to manage anemia in thalassemia patients. Deferoxamine therapy is used to manage iron overload due to frequent blood transfusions.

Question 7

A group of students are reviewing information about glucose-6-phosphate dehydrogenase (G6PD) deficiency. The students demonstrate understanding of the material when they identify this disorder as due to which of the following?

Accepted Answer

G6PD deficiency is an X-linked recessive genetic disorder, meaning it is linked to the X chromosome and typically manifests in males who have only one X chromosome, while females with two X chromosomes are often carriers unless both X chromosomes carry the mutation.

Question 8

The nurse is caring for a 16-year-old boy with acute myelogenous leukemia who is having chemotherapy and who has incomplete records for varicella zoster immunization. Which of the following will be the priority nursing diagnosis?

Accepted Answer

The priority nursing diagnosis for a 16-year-old boy with acute myelogenous leukemia undergoing chemotherapy, especially with incomplete records for varicella zoster immunization, is "Risk for infection related to neutropenia and immunosuppression." Chemotherapy can cause immunosuppression, increasing the risk of infection, which can be life-threatening in this context.

Question 9

The nurse is caring for an 8-year-old girl who has been diagnosed with leukemia and will have a variety of tests, including a lumbar puncture, before beginning chemotherapy. Which of the following would be the priority?

Accepted Answer

Educating the child and family about the testing procedures is the priority to ensure they understand what to expect, which can help reduce anxiety and prepare them for the upcoming tests.

Question 10

The nurse is caring for a 13-year-old boy with acute myelogenous leukemia who is experiencing feelings of powerlessness due to the effects of chemotherapy. Which of the following interventions will best help the teen's sense of control?

Accepted Answer

Involving the boy in decisions whenever possible helps him feel more in control and empowered, which can counteract feelings of powerlessness.

Question 11

The nurse is caring for a 5-year-old girl with a disseminated medulloblastoma. Which of the following interventions would be most appropriate for this situation?

Accepted Answer

The answer of The nurse is caring for a 5-year-old...

Question 12

The nurse is assessing a 3-year-old boy whose parents brought him to the clinic when they noticed that the right side of his abdomen was swollen. Which of the following findings would suggest this child has a neuroblastoma?

Accepted Answer

The answer of The nurse is assessing a 3-year-old boy...

Question 13

The nurse is educating the parents of a 4-year-old boy with a Wilms tumor who is about to have chemotherapy prior to surgery. Which statement by the parents indicates that the nurse should review the instructions about preventing infection?

Accepted Answer

Antibiotics are not typically used as a preventative measure for infection in patients undergoing chemotherapy for Wilms tumor unless there is a specific indication. The focus should be on hygiene, avoiding crowds to reduce exposure to infectious agents, and monitoring for fever, which can indicate infection. Antibiotics are used to treat infections rather than prevent them in this context, suggesting a misunderstanding of infection prevention strategies.

Question 14

The nurse is assessing a 13-year-old girl with a family history of kidney cancer who has come to the clinic complaining of abdominal pain, nausea, and vomiting. Which of the following findings would the nurse identify as least likely indicative of cancer in a child?

Accepted Answer

Rectal bleeding and diarrhea are more commonly associated with gastrointestinal conditions such as inflammatory bowel disease rather than cancer, especially in children. Asymmetric abdomen, a broken bone without trauma, and an abdominal mass are more concerning signs that could indicate cancer.

Question 15

The nurse is caring for a 9-year-old boy who is having chemotherapy. The nurse is developing a teaching plan for the child and family about nutrition. Which of the following would the nurse be least likely to include?

Accepted Answer

The focus for a child undergoing chemotherapy should be on a balanced diet that includes grains, fruits, and vegetables (A), managing side effects of medications like opioids with high-fiber foods (B), and adjusting the diet for symptoms like diarrhea by potentially avoiding milk products (D). Concentrating primarily on high-calorie shakes and puddings (C) would not provide the balanced nutrition needed for recovery and overall health, making it the least likely option to be included in a teaching plan.

Question 16

The nurse is caring for a 7-year-old girl who is undergoing a stem cell transplant. Which of the following would the nurse include in the child's postoperative plan of care?

Accepted Answer

The answer of The nurse is caring for a 7-year-old...

Question 17

The nurse is caring for a 5-year-old boy undergoing radiation treatment for a neuroblastoma. Which nursing diagnosis would be most applicable for this child?

Accepted Answer

Radiation treatment often causes skin issues such as desquamation due to cellular destruction, making impaired skin integrity a relevant nursing diagnosis.

Question 18

The nurse is planning a discussion group for parents with children who have cancer. Which of the following would the nurse include when describing the differences between cancer in children and adults?

Accepted Answer

Childhood cancers often originate in the tissues like muscle, bone, and blood vessels, contrasting with many adult cancers that start in organs.

Question 19

A child is receiving fluorouracil as part of a chemotherapy protocol. Which of the following would be most important for the nurse to include in the child's plan of care?

Accepted Answer

Maintaining adequate hydration is crucial when a child is receiving chemotherapy, including fluorouracil, to help the body process and eliminate the drug, reducing the risk of toxicity and supporting overall kidney function.

Question 20

A child diagnosed with stage IV neuroblastoma has undergone abdominal surgery to remove the tumor. He is now receiving chemotherapy. Which nursing diagnosis would be most important?

Accepted Answer

The answer of A child diagnosed with stage IV neuroblastoma...

Quiz 46: Nursing Care of the Child With an Alteration in Cellular Regulation/Hematologic or Neoplastic Disorder

A child is prescribed monthly injections of vitamin B12. When developing the teaching plan for the family, the nurse would focus on which type of anemia?