NUR 232 Final Exam Test Questions with Answers Rated A
What medication can be given before chemo to help with
antiemetic- give about 30 minutes before
nausea/vomiting?
distinguished from other lymphomas by the presence of
large, cancerous lymphocytes known as Reed-Sternberg
Hodgkins Lymphoma
cells
Key finding- enlarged, firm, nodular, lymph nodes
Disease is dittuse rather than nodular, starts from lympho-
Non-Hodgkin's Lymphoma
cytes, cells are unditterentiated or poorly ditterentiated
What is the most common head injury in a child? concussion
What are the hallmark symptoms of a concussion? confusion and amnesia that can occur with or without LOC
wake pt up every couple hours
lower screen time
What is the NI/Pt teaching for head injury/concussion? Notify dr- seizures, increased headache, confusion
Nurses- NPO, I&O, Daily weights, S/S ICP
HA
Nausea
What are the early S/S of IICP Vomiting
Visual Disturbance
***Change in LOC
Irritable
bulging fontanelles
What are signs of IICP in a baby?
Widened sutures
bigger head circumference
Cushings Triad- Increased BP, Low HR, Low RR
What are late signs of IICP?
Fixed Dilated Pupils
X-ray, CT, MRI, PET
How do you diagnose IICP?
**LUMBAR PUNCTURE- don't do until you have CT
, What is the most common pediatric neuro disorder? Seizures
FEVER
IICP
Epilepsy
Migraines
Tumor
What are the causes of seizures?
Trauma
Hyperbilirubemia
Kernicterus
Infection
Toxins
What ages do febrile seizures occur? 6 months- 5 years
Leukemia
What is the most common cancer in kids? More common in boys
Onset 2-5 yo
What is used for the definitive diagnosis for Leukemia? Bone marrow aspiration and biopsy
cancer of white blood cells
Leukemia
WBC high initially then destruction of cells
What is the most important thing to remember when The higher the initial WBC is the lower the prognosis is for
diagnosing leukemia? the child
early- low grade fever, pallor, listlessness, enlarged liver,
lymph nodes, & jts. Vomiting anorexia.
Leukemia S/S
Late- pain, hematuria, ulceration in mouth, enlarged kid-
neys & testicles, signs of ICP
- chemotherapy
- transfusion of bone marrow, stem cells, platelets
Leukemia Tx
-Bone marrow transplant
- NO radiation (can't radiate all of the body and the blood)
Leukemia pt teaching/NI
What medication can be given before chemo to help with
antiemetic- give about 30 minutes before
nausea/vomiting?
distinguished from other lymphomas by the presence of
large, cancerous lymphocytes known as Reed-Sternberg
Hodgkins Lymphoma
cells
Key finding- enlarged, firm, nodular, lymph nodes
Disease is dittuse rather than nodular, starts from lympho-
Non-Hodgkin's Lymphoma
cytes, cells are unditterentiated or poorly ditterentiated
What is the most common head injury in a child? concussion
What are the hallmark symptoms of a concussion? confusion and amnesia that can occur with or without LOC
wake pt up every couple hours
lower screen time
What is the NI/Pt teaching for head injury/concussion? Notify dr- seizures, increased headache, confusion
Nurses- NPO, I&O, Daily weights, S/S ICP
HA
Nausea
What are the early S/S of IICP Vomiting
Visual Disturbance
***Change in LOC
Irritable
bulging fontanelles
What are signs of IICP in a baby?
Widened sutures
bigger head circumference
Cushings Triad- Increased BP, Low HR, Low RR
What are late signs of IICP?
Fixed Dilated Pupils
X-ray, CT, MRI, PET
How do you diagnose IICP?
**LUMBAR PUNCTURE- don't do until you have CT
, What is the most common pediatric neuro disorder? Seizures
FEVER
IICP
Epilepsy
Migraines
Tumor
What are the causes of seizures?
Trauma
Hyperbilirubemia
Kernicterus
Infection
Toxins
What ages do febrile seizures occur? 6 months- 5 years
Leukemia
What is the most common cancer in kids? More common in boys
Onset 2-5 yo
What is used for the definitive diagnosis for Leukemia? Bone marrow aspiration and biopsy
cancer of white blood cells
Leukemia
WBC high initially then destruction of cells
What is the most important thing to remember when The higher the initial WBC is the lower the prognosis is for
diagnosing leukemia? the child
early- low grade fever, pallor, listlessness, enlarged liver,
lymph nodes, & jts. Vomiting anorexia.
Leukemia S/S
Late- pain, hematuria, ulceration in mouth, enlarged kid-
neys & testicles, signs of ICP
- chemotherapy
- transfusion of bone marrow, stem cells, platelets
Leukemia Tx
-Bone marrow transplant
- NO radiation (can't radiate all of the body and the blood)
Leukemia pt teaching/NI
