NURS 4211 Chapter 24 prep u Hematologic or Neoplastic Disorder

Question 1 See full question 1m 2s
The pediatric nurse examines the radiographs of a client that show that there are
lesions on the bone. This finding is indicative of:
You Selected:

 Ewing sarcoma.

Correct response:

 Ewing sarcoma.

Explanation:
Reference:

Kyle, T., & Carman, S. Essentials of Pediatric Nursing, 3rd ed., Philadelphia: Wolters
Kluwer, 2017, Chapter 24: Nursing Care of the Child With an Alteration in Cellular
Regulation/Hematologic or Neoplastic Disorder, p. 956.

Question 2 See full question 26s
The nurse caring for a 14-year-old scheduled for magnetic resonance imaging (MRI)
explains how the test works to the family. Which response accurately describes this
test?
You Selected:

 "The MRI uses radio waves and magnets to produce a computerized image of
the body."

Correct response:

 "The MRI uses radio waves and magnets to produce a computerized image of
the body."

Explanation:
Reference:

Kyle, T., & Carman, S. Essentials of Pediatric Nursing, 3rd ed., Philadelphia: Wolters
Kluwer, 2017, Chapter 24: Nursing Care of the Child With an Alteration in Cellular
Regulation/Hematologic or Neoplastic Disorder, p. 923.

Question 3 See full question 33s
A child is to receive oral iron therapy in liquid form three times a day. After teaching the
parents about administering the iron, which statement indicates a need for additional
teaching?

,You Selected:

 “She can drink the medicine from a medicine cup.”

Correct response:

 “She can drink the medicine from a medicine cup.”

Explanation:
Reference:

Kyle, T., & Carman, S. Essentials of Pediatric Nursing, 3rd ed., Philadelphia: Wolters
Kluwer, 2017, Chapter 24: Nursing Care of the Child With an Alteration in Cellular
Regulation/Hematologic or Neoplastic Disorder, p. 931.

Question 4 See full question 41s
The nurse is preparing a child for discharge following a sickle cell crisis. Which
statement by the mother indicates a need for further teaching?
You Selected:

 “She has been down, but playing in soccer camp will cheer her up.”

Correct response:

 “She has been down, but playing in soccer camp will cheer her up.”

Explanation:
Reference:

Kyle, T., & Carman, S. Essentials of Pediatric Nursing, 3rd ed., Philadelphia: Wolters
Kluwer, 2017, Chapter 24: Nursing Care of the Child With an Alteration in Cellular
Regulation/Hematologic or Neoplastic Disorder, p. 938.

Question 5 See full question 55s
The nurse is reinforcing teaching with a group of caregivers of children diagnosed with
iron-deficiency anemia. One of the caregivers tells the group, “I give my child ferrous
sulfate.” Which statement made by the caregivers is correct regarding giving ferrous
sulfate?
You Selected:

 “My husband gives our daughter orange juice when she takes her ferrous
sulfate, so she gets Vitamin C.”

Correct response:

,  “My husband gives our daughter orange juice when she takes her ferrous
sulfate, so she gets Vitamin C.”

Explanation:
Reference:

Kyle, T., & Carman, S. Essentials of Pediatric Nursing, 3rd ed., Philadelphia: Wolters
Kluwer, 2017, Chapter 24: Nursing Care of the Child With an Alteration in Cellular
Regulation/Hematologic or Neoplastic Disorder, p. 912.

Question 6 See full question 16s
When developing the postoperative plan of care for a child with sickle cell anemia who
has undergone a splenectomy, which would the nurse identify as the priority?
You Selected:

 Risk for infection

Correct response:

 Risk for infection

Explanation:
Reference:

Kyle, T., & Carman, S. Essentials of Pediatric Nursing, 3rd ed., Philadelphia: Wolters
Kluwer, 2017, Chapter 24: Nursing Care of the Child With an Alteration in Cellular
Regulation/Hematologic or Neoplastic Disorder, p. 908.

Question 7 See full question 20s
The nurse is assessing a child and notices pinpoint hemorrhages appearing on several
different areas of the body. The hemorrhages do not blanch on pressure. The nurse
documents this finding as:
You Selected:

 petechiae.

Correct response:

 petechiae.

Explanation:
Reference:

, Kyle, T., & Carman, S. Essentials of Pediatric Nursing, 3rd ed., Philadelphia: Wolters
Kluwer, 2017, Chapter 24: Nursing Care of the Child With an Alteration in Cellular
Regulation/Hematologic or Neoplastic Disorder, p. 942.

Question 8 See full question 44s
A child receiving chemotherapy is experiencing significant reduction in red blood cells
secondary to myelosuppression. Which agent would the nurse most likely expect to be
ordered?
You Selected:

 Epoetin alfa

Correct response:

 Epoetin alfa

Explanation:
Reference:

Kyle, T., & Carman, S. Essentials of Pediatric Nursing, 3rd ed., Philadelphia: Wolters
Kluwer, 2017, Chapter 24: Nursing Care of the Child With an Alteration in Cellular
Regulation/Hematologic or Neoplastic Disorder, p. 912.

Question 9 See full question 19s
What is the priority action the nurse should take when caring for a child newly
diagnosed with Wilms tumor (nephroblastoma)?
You Selected:

 Obtain a catheterized urine specimen.

Correct response:

 Protect the abdomen from manipulation.

Explanation:
Reference:

Kyle, T., & Carman, S. Essentials of Pediatric Nursing, 3rd ed., Philadelphia: Wolters
Kluwer, 2017, Chapter 24: Nursing Care of the Child With an Alteration in Cellular
Regulation/Hematologic or Neoplastic Disorder, p. 959.

Question 10 See full question 1m 14s
Antiemetics are ordered to control nausea and vomiting in the child undergoing
chemotherapy. How can the nurse most effectively use these medications?