MaternitybandbPediatricbNursingb4thbEditionbRiccibKylebCarmanbTestbBank
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Chapter 46 b
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Format:b Multipleb Choice
ClientbNeeds:b PhysiologicalbIntegrity:bReductionbofbR i s k aPb i or bt. ceo nm t/ t ieas tl bCogn
itivebLevel:b Analyze
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Integratedb Process:b Nursingb Process
Pageb andb Header:b 1727,b Nursingb Diagnosis
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1. Thebnursebisbcaringbforbab16-year-
oldbboybwithbacutebmyelogenousbleukemiab whob isb havingb chemotherapyb andb whob h
asb incompleteb recordsb forbvaricellab zoster
immunization.b Whichb isb theb priorityb nursingb diagnosis?
abirb.com/test
A) Painb relatedb tob adverseb effectsb ofb treatmentb verbalizedb byb theb child
B) Nauseabrelatedbtobsidebeffectsbofbchemothera ab i rpb y. c o vm e/ t ersbt balizedbbybthebchild
C) Constipationb relatedb tob theb useb ofb opioidb analgesicsb forb pain
D) Riskbforbinfectionbrelatedbtobneutropeniaban adbi ri bm
.com
m/u
ten
stosuppression b
Ans: D
Feedback: abirb.com/test
Thebprioritybnursingbdiagnosisbisbriskbforbinfectionbrelatedbtobneutropeniabandb immuno
suppression.bThebincompletebrecordsbforbvaricellaabirzbo.csomte/terstimmunization bcan
causeb ab problemb sinceb exposureb tob chickenpoxb couldb causeb sepsis,b sob theb nurse
shouldbcontactbtheboncologistbforbapprovalbtobadministerbthebvaccine.bCertainbvaccine
sb areb notb administeredb whenb theb childb isb immunosuppressed,b sob timingb is
abirb.com/test
crucial.b Diagnosesb forb painb andb nauseab areb validb forb thisb childb becauseb heb is
undergoingbchemotherapy,bbutbtheybarebnotbabpriority.bLikewise,bthebneedbforb constip
ationbmanagementbwouldbnotbbebnecessarybunlessbopioidbusebbegins.
abirb.com/test
Format:b Multipleb Choice
abirb.com/test
Clientb Needs:b Physiologicalb Integrity:b Reductionb ofb Riskb Potential
Cognitiveb Level:b Apply abirb.com/test
abirb.com/test
abirb.com/test
, MaternitybandbPediatricbNursingb4thbEditionbRiccibKylebCarmanbTestbBank
abirb.com/test
Integratedb Process:b Teaching/Learning
Pageb andb Header:b 1701,b Teachingb Guidelinesb 46.1
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2. Thebnursebisbcaringbforbanb8-year-
oldbgirlbwhobhasbbeenbdiagnosedbwithb leukemiab andb willb haveb ab varietyb ofb tests,b
includingb ab lumbarb puncture,b before
beginningb chemotherapy.b Whatb actionb wouldb beb theb priority?
abirb.com/test
A) Applyingb EMLAb tob theb lumbarb punctureb site
B) Educatingb theb childb andb familyb aboutb theb teasbtiribn.cgomp/treo
st cedures
C) Administeringb promethazineb asb orderedb forb nausea
D) Educatingbthebfamilybaboutbchemotherapybaa bni rdb . ciotms / t se si tde beffectsb
Ans: B
Feedback: abirb.com/test
Thebprioritybwouldbbebeducatingbthebchildbandbfamilybaboutbthebtestingbprocedures,b s
ob theyb knowb whatb tob expectb andb understandb whyb theb tests b areb beingb performed.
abirb.com/test
Applyingb EMLAb tob theb lumbarb punctureb siteb willb beb doneb priorb tob theb procedure.b The
familybwillbbebeducatedbaboutbchemotherapybandbitsbsidebeffectsbpriorbtobthebtherapyb begin
ning,bandbpromethazineborbotherbantiemeticsbwillbbebadministeredbonce
abirb.com/test
chemotherapyb hasb begun.
abirb.com/test
Format:b Multipleb Choice
ClientbNeeds:b PsychosocialbIntegrityb
abirb.com/test
CognitivebLevel:b Apply
Integratedb Process:b Nursingb Process
abirb.com/test
PagebandbHeader:b1695,bInterventionsbwithbRationale:bPromotingbChildbandbFamilybC
oping
abirb.com/test
3. Theb nurseb isb caringb forb ab 13-year-oldb boyb withb acuteb myelogenousb leukemia
whobisbexperiencingbfeelingsbofbpowerlessnessbduebtobthebeffectsbofbchemotherapy.b
Whatbinterventionbwillbbestbhelpbthebteen’sbsensebofbcontrol?
abirb.com/test
A) Involvingb theb boyb inb decisionsb wheneverb possible
B) Acknowledgingb theb boy’sb feelingsb ofb angerb withb theb disease
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abirb.com/test
abirb.com/test
, MaternitybandbPediatricbNursingb4thbEditionbRiccibKylebCarmanbTestbBank
a b i rb . c o m / t e s t b
C) Providingb realisticb expectationsb ofb treatmen t s a n d o u tcomes
D) Recognizingb abilitiesb thatb areb unaffectedb byb theb disease
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Ans: A
Feedback:
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Involvingbthebboybinbthebdecision-
makingbprocessbwillbbestbhelpbhisbsensebofbcontrol.b Whetherb heb isb includedb inb importan
tb decisionsb aboutb therapyb orb minorb decisionsb like
menusborbdress,bitbwillbgivebhimbabsensebofbcontrolboverbha bisi r b .sc iotmu/ tae sttion . bAcknowledging
feelingsbofbanger,brecognizingbhisbabilities,bandbprovidingbrealisticbexpectationsbwillbre
ducebbodybimagebdisturbancebandbbuildbself-esteem.
abirb.com/test
Format:b Multipleb Choice
abirb.com/test
ClientbNeeds:b PsychosocialbIntegrityb
CognitivebLevel:b Apply
abirb.com/test
Integratedb Process:b Nursingb Process
Pageb andb Header:b 1696,b Interventionsb withb Rationale:b Supportingb theb Grieving
Family abirb.com/test
4. Theb nurseb isb caringb forb ab 5-year-
oldb girlb withb ab disseminatedbmedulloblastoma.bWhatbinterventionbwouldbbebmostbapparbo
i rp
b . rc ioamt/ tee s tfor bthisbsituation?
A) Providingb emotionalb supportb tob theb parentsb andb siblingsb ofb theb child
B) Recommendingbsupportbgroupsbforbpeoplebw
a bh
i r bo. csoe
m/c
t eh
s t i ld r en b haveb cancer
C) Encouragingb theb familyb tob cryb andb expressb feelingsb awayb fromb theb child
D) Educatingbthebfamilybaboutbthebdisease,bitsbatbri reb .ac ot mm/ t eesnt bts,bandbsidebeffectsb
Ans: C
Feedback: abirb.com/test
Theboutcomebofbthisbhighlybmalignantbmedulloblastomabisboftenbnotbpositive.bHelpingb
thebfamilybthroughbanticipatorybgrievingbbybencouraging atbhi r be. c ofma /m
t e sitly btobcrybandbexp
ressb feelingsb awayb fromb theb childb wouldb beb uniqueb tob thisb child’sb situation.
Educatingb theb familyb aboutb theb disease,b itsb treatments,b andb sideb effects;
recommendingb supportb groups;b andb providingb emotionalb supportb tob theb parentsb and
abirb.com/test
siblingsb wouldb beb appropriateb forb anyb childb withb cancer.
abirb.com/test
abirb.com/test
, MaternitybandbPediatricbNursingb4thbEditionbRiccibKylebCarmanbTestbBank
abirb.com/test
Format:b Multipleb Choice
abirb.com/test
Clientb Needs: Physiologicalb Integrity:b Physiologicalb Adaptation
Cognitiveb Level:b Apply
abirb.com/test
IntegratedbProcess:b NursingbProcessbPa
gebandbHeader:b1729,bHealthbHistory
abirb.com/test
5. Thebnursebisbassessingbab3-year-
oldbboybwhosebparentsbbroughtbhimbtobtheb clinicb whenb theyb noticedb thatb theb rightb
sideb ofb hisb abdomenb wasb swollen.b What
findingb wouldb suggestb thisb childb hasb ab neuroblastoma?b b abirb.com/test
A) Theb childb hasb ab maculopapularb rashb onb hisb palms.
B) Thebparentsb reportbthatb theirbsonb isbvomitinagb i r ab . n
c odm / n
t e sot btbeatingb well.
C) Theb parentsb reportb thatb theirb sonb isb irritableb andb notb gainingb weight.
D) Auscultationbrevealsbwheezingbwithbd i m in isha bei r db . c loumn/ t egs t bsounds.b
Ans: B
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Feedback:
Alongbwithbthebswollenbabdomenbonbonebside,bthebparentsbreportingbthatbthebchildbisb v
omitingbandbanorexicbpointsbtobthebpossibilitybofbabn e u r oa bbi r lba. cso tmo/ t ems t a . bObservingbabma
culopapularbrashbonbthebchild’sbpalmsbisbabsignbofbgraft-versus-
hostbdisease.bTheb parentsb reportingb thatb theb childb isb irritableb andb notb gainingb weig
htb suggestsb abpossiblebbrainbtumorbasbwellbasbmalabsorptionbp r o b l e m s .a bAi r bu. cso cmu/ t el ts at bti
onbrevealingbwheezingbwithbdiminishedblungbsoundsbwouldbsuggestbotherbproblems,bn
otbabneuroblastoma.
abirb.com/test
Format:b Multipleb Choice
abirb.com/test
Clientb Needs:b Safeb andb Effectiveb Careb Environment:b Safetyb andb Infectionb Control
Cognitiveb Level:b Analyze
abirb.com/test
Integratedb Process:b Teaching/Learning
Pageb andb Header:b 1703,b Teachingb Guidelinesb 46.2
abirb.com/test
abirb.com/test
abirb.com/test
abirb.com/test
Chapter 46 b
abirb.com/test
Format:b Multipleb Choice
ClientbNeeds:b PhysiologicalbIntegrity:bReductionbofbR i s k aPb i or bt. ceo nm t/ t ieas tl bCogn
itivebLevel:b Analyze
abirb.com/test
Integratedb Process:b Nursingb Process
Pageb andb Header:b 1727,b Nursingb Diagnosis
abirb.com/test
1. Thebnursebisbcaringbforbab16-year-
oldbboybwithbacutebmyelogenousbleukemiab whob isb havingb chemotherapyb andb whob h
asb incompleteb recordsb forbvaricellab zoster
immunization.b Whichb isb theb priorityb nursingb diagnosis?
abirb.com/test
A) Painb relatedb tob adverseb effectsb ofb treatmentb verbalizedb byb theb child
B) Nauseabrelatedbtobsidebeffectsbofbchemothera ab i rpb y. c o vm e/ t ersbt balizedbbybthebchild
C) Constipationb relatedb tob theb useb ofb opioidb analgesicsb forb pain
D) Riskbforbinfectionbrelatedbtobneutropeniaban adbi ri bm
.com
m/u
ten
stosuppression b
Ans: D
Feedback: abirb.com/test
Thebprioritybnursingbdiagnosisbisbriskbforbinfectionbrelatedbtobneutropeniabandb immuno
suppression.bThebincompletebrecordsbforbvaricellaabirzbo.csomte/terstimmunization bcan
causeb ab problemb sinceb exposureb tob chickenpoxb couldb causeb sepsis,b sob theb nurse
shouldbcontactbtheboncologistbforbapprovalbtobadministerbthebvaccine.bCertainbvaccine
sb areb notb administeredb whenb theb childb isb immunosuppressed,b sob timingb is
abirb.com/test
crucial.b Diagnosesb forb painb andb nauseab areb validb forb thisb childb becauseb heb is
undergoingbchemotherapy,bbutbtheybarebnotbabpriority.bLikewise,bthebneedbforb constip
ationbmanagementbwouldbnotbbebnecessarybunlessbopioidbusebbegins.
abirb.com/test
Format:b Multipleb Choice
abirb.com/test
Clientb Needs:b Physiologicalb Integrity:b Reductionb ofb Riskb Potential
Cognitiveb Level:b Apply abirb.com/test
abirb.com/test
abirb.com/test
, MaternitybandbPediatricbNursingb4thbEditionbRiccibKylebCarmanbTestbBank
abirb.com/test
Integratedb Process:b Teaching/Learning
Pageb andb Header:b 1701,b Teachingb Guidelinesb 46.1
abirb.com/test
2. Thebnursebisbcaringbforbanb8-year-
oldbgirlbwhobhasbbeenbdiagnosedbwithb leukemiab andb willb haveb ab varietyb ofb tests,b
includingb ab lumbarb puncture,b before
beginningb chemotherapy.b Whatb actionb wouldb beb theb priority?
abirb.com/test
A) Applyingb EMLAb tob theb lumbarb punctureb site
B) Educatingb theb childb andb familyb aboutb theb teasbtiribn.cgomp/treo
st cedures
C) Administeringb promethazineb asb orderedb forb nausea
D) Educatingbthebfamilybaboutbchemotherapybaa bni rdb . ciotms / t se si tde beffectsb
Ans: B
Feedback: abirb.com/test
Thebprioritybwouldbbebeducatingbthebchildbandbfamilybaboutbthebtestingbprocedures,b s
ob theyb knowb whatb tob expectb andb understandb whyb theb tests b areb beingb performed.
abirb.com/test
Applyingb EMLAb tob theb lumbarb punctureb siteb willb beb doneb priorb tob theb procedure.b The
familybwillbbebeducatedbaboutbchemotherapybandbitsbsidebeffectsbpriorbtobthebtherapyb begin
ning,bandbpromethazineborbotherbantiemeticsbwillbbebadministeredbonce
abirb.com/test
chemotherapyb hasb begun.
abirb.com/test
Format:b Multipleb Choice
ClientbNeeds:b PsychosocialbIntegrityb
abirb.com/test
CognitivebLevel:b Apply
Integratedb Process:b Nursingb Process
abirb.com/test
PagebandbHeader:b1695,bInterventionsbwithbRationale:bPromotingbChildbandbFamilybC
oping
abirb.com/test
3. Theb nurseb isb caringb forb ab 13-year-oldb boyb withb acuteb myelogenousb leukemia
whobisbexperiencingbfeelingsbofbpowerlessnessbduebtobthebeffectsbofbchemotherapy.b
Whatbinterventionbwillbbestbhelpbthebteen’sbsensebofbcontrol?
abirb.com/test
A) Involvingb theb boyb inb decisionsb wheneverb possible
B) Acknowledgingb theb boy’sb feelingsb ofb angerb withb theb disease
abirb.com/test
abirb.com/test
abirb.com/test
, MaternitybandbPediatricbNursingb4thbEditionbRiccibKylebCarmanbTestbBank
a b i rb . c o m / t e s t b
C) Providingb realisticb expectationsb ofb treatmen t s a n d o u tcomes
D) Recognizingb abilitiesb thatb areb unaffectedb byb theb disease
abirb.com/test
Ans: A
Feedback:
abirb.com/test
Involvingbthebboybinbthebdecision-
makingbprocessbwillbbestbhelpbhisbsensebofbcontrol.b Whetherb heb isb includedb inb importan
tb decisionsb aboutb therapyb orb minorb decisionsb like
menusborbdress,bitbwillbgivebhimbabsensebofbcontrolboverbha bisi r b .sc iotmu/ tae sttion . bAcknowledging
feelingsbofbanger,brecognizingbhisbabilities,bandbprovidingbrealisticbexpectationsbwillbre
ducebbodybimagebdisturbancebandbbuildbself-esteem.
abirb.com/test
Format:b Multipleb Choice
abirb.com/test
ClientbNeeds:b PsychosocialbIntegrityb
CognitivebLevel:b Apply
abirb.com/test
Integratedb Process:b Nursingb Process
Pageb andb Header:b 1696,b Interventionsb withb Rationale:b Supportingb theb Grieving
Family abirb.com/test
4. Theb nurseb isb caringb forb ab 5-year-
oldb girlb withb ab disseminatedbmedulloblastoma.bWhatbinterventionbwouldbbebmostbapparbo
i rp
b . rc ioamt/ tee s tfor bthisbsituation?
A) Providingb emotionalb supportb tob theb parentsb andb siblingsb ofb theb child
B) Recommendingbsupportbgroupsbforbpeoplebw
a bh
i r bo. csoe
m/c
t eh
s t i ld r en b haveb cancer
C) Encouragingb theb familyb tob cryb andb expressb feelingsb awayb fromb theb child
D) Educatingbthebfamilybaboutbthebdisease,bitsbatbri reb .ac ot mm/ t eesnt bts,bandbsidebeffectsb
Ans: C
Feedback: abirb.com/test
Theboutcomebofbthisbhighlybmalignantbmedulloblastomabisboftenbnotbpositive.bHelpingb
thebfamilybthroughbanticipatorybgrievingbbybencouraging atbhi r be. c ofma /m
t e sitly btobcrybandbexp
ressb feelingsb awayb fromb theb childb wouldb beb uniqueb tob thisb child’sb situation.
Educatingb theb familyb aboutb theb disease,b itsb treatments,b andb sideb effects;
recommendingb supportb groups;b andb providingb emotionalb supportb tob theb parentsb and
abirb.com/test
siblingsb wouldb beb appropriateb forb anyb childb withb cancer.
abirb.com/test
abirb.com/test
, MaternitybandbPediatricbNursingb4thbEditionbRiccibKylebCarmanbTestbBank
abirb.com/test
Format:b Multipleb Choice
abirb.com/test
Clientb Needs: Physiologicalb Integrity:b Physiologicalb Adaptation
Cognitiveb Level:b Apply
abirb.com/test
IntegratedbProcess:b NursingbProcessbPa
gebandbHeader:b1729,bHealthbHistory
abirb.com/test
5. Thebnursebisbassessingbab3-year-
oldbboybwhosebparentsbbroughtbhimbtobtheb clinicb whenb theyb noticedb thatb theb rightb
sideb ofb hisb abdomenb wasb swollen.b What
findingb wouldb suggestb thisb childb hasb ab neuroblastoma?b b abirb.com/test
A) Theb childb hasb ab maculopapularb rashb onb hisb palms.
B) Thebparentsb reportbthatb theirbsonb isbvomitinagb i r ab . n
c odm / n
t e sot btbeatingb well.
C) Theb parentsb reportb thatb theirb sonb isb irritableb andb notb gainingb weight.
D) Auscultationbrevealsbwheezingbwithbd i m in isha bei r db . c loumn/ t egs t bsounds.b
Ans: B
abirb.com/test
Feedback:
Alongbwithbthebswollenbabdomenbonbonebside,bthebparentsbreportingbthatbthebchildbisb v
omitingbandbanorexicbpointsbtobthebpossibilitybofbabn e u r oa bbi r lba. cso tmo/ t ems t a . bObservingbabma
culopapularbrashbonbthebchild’sbpalmsbisbabsignbofbgraft-versus-
hostbdisease.bTheb parentsb reportingb thatb theb childb isb irritableb andb notb gainingb weig
htb suggestsb abpossiblebbrainbtumorbasbwellbasbmalabsorptionbp r o b l e m s .a bAi r bu. cso cmu/ t el ts at bti
onbrevealingbwheezingbwithbdiminishedblungbsoundsbwouldbsuggestbotherbproblems,bn
otbabneuroblastoma.
abirb.com/test
Format:b Multipleb Choice
abirb.com/test
Clientb Needs:b Safeb andb Effectiveb Careb Environment:b Safetyb andb Infectionb Control
Cognitiveb Level:b Analyze
abirb.com/test
Integratedb Process:b Teaching/Learning
Pageb andb Header:b 1703,b Teachingb Guidelinesb 46.2
abirb.com/test
abirb.com/test
abirb.com/test
