NURS 232 PEDS EXAM 3/ NURS 232 EXAM 3 WITH VERIFIED QUESTIONS AND CORRECTLY HIGHLIGHTED ANSWERS WITH DETAILED RATIONALES 2024 LATEST UPDATED EXAM 100% GUARANTEED PASS.

NURS 232 PEDS EXAM 3/ NURS 232 EXAM 3 WITH VERIFIED QUESTIONS AND CORRECTLY HIGHLIGHTED ANSWERS WITH DETAILED RATIONALES 2024 LATEST UPDATED EXAM 100% GUARANTEED PASS. The nurse in planning care for the pediatric oncology patient anticipates implementing which action with regard to the administration of an antiemetic in a chemotherapy protocol? a) Providing the med as a prn basis based on patient's presenting symptoms of N/V b) Administering med via the PO following infusion of chemotherapy protocol c) Providing med with sips of water following clinical symptoms of N/V d) Administering 30- 60 mins prior to initiation of therapy - ANSWER- d) Administering 30- 60 mins prior to initiation of therapy *Preferred route of administration is via parenteral route especially if the anticipated risk for N/V is increased A critical concept that needs to be maintained during intravenous administration of chemotherapy for a pediatric patient is? a) Positioning the patient in a semi-fowler's position. b) Not use an infusion device but rather allow for a free-flow line. c) Continue the infusion regardless if the patient develops a rash. d) Maintaining the integrity of the parenteral access line. - ANSWER- d) Maintaining the integrity of the parenteral access line. *access line be maintained and monitored. If there is any indication that the site as infiltrated, then the infusion must be immediately stopped. *pt positioning is variable depending on pt comfort. *If pt develops a rash in response to chemo, this may be an indication of a hypersensitivity reaction so must notify of HC provider and discontinuing the infusion In taking care of a pediatric oncology patient, which diagnostic finding would indicate a critical concern for the development of infection? a) Absolute neutrophil count of 250 b) Temp of 99.2F c) WBC 7,000 d) Platelet count 100,000 - ANSWER- a) Absolute neutrophil count of 250 *An absolute neutrophil count of 500 is considered severe nuetropenic and iis a critical concern bc it indicates the potential for overwhelming infection *WBC normal range 5,000-10,000 A young pediatric oncology patient has stomatitis. Which intervention if observed by the charge nurse would warrant immediate action? a) assigned to the patient was offering mouth care using a sponge toothbrush b) offers the patient frequent mouth rinses c) preparing to use viscous lidocaine to offer pain relief d) administers sucralfate as ordered - ANSWER- c) preparing to use viscous lidocaine to offer pain relief *contraindicated bc it can lead to aspiration and seizure activity A pt undergoing chemo treatment is refusing to eat despite providing the child's "favorite foods" and allowing for alternate feeding patterns independent of meal time. What etiological theories might account for the child's loss of desire to eat? (select all apply) a) anticipates that they will have N/V as part of the treatment sequence b) refusing to eat in an attempt to gain control over their surroundings c) The "correct" food has just not been found and more food selections should be offered d) experiencing symptoms of depression. e) refusing to eat because his/her parents did not make the food. - ANSWER- a) anticipates that they will have N/V as part of the treatment sequence b) refusing to eat in an attempt to gain control over their surroundings d) experiencing symptoms of depression. *even in the context of being offered "favorite foods," the child may not want to eat. *anorexia and refusal include possible depression, attempts at control, a conditioned response reflecting aversion during treatment and/or stress.