Nurs 232 Exam 3 questions with answers
|\ |\ |\ |\ |\ |\
What term describes programmed cell death when the
|\ |\ |\ |\ |\ |\ |\ |\
cell realizes something is wrong and destroys itself? -
|\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔Apoptosis |\ |\
What is the term for a method of med delivery in which
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the drug is introduced into the spinal canal
|\ |\ |\ |\ |\ |\ |\
*ex: lumbar puncture - CORRECT ANSWERS ✔✔Intrathecal
|\ |\ |\ |\ |\ |\
What is described as a decrease production of blood cells
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
in the bone marrow - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\
✔✔Myelosuppression
What term describes the lowest point in a lab value or
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
serum blood titer - CORRECT ANSWERS ✔✔Nadir
|\ |\ |\ |\ |\ |\
What term describes cancers that appear after the
|\ |\ |\ |\ |\ |\ |\ |\
primary cancer in treatment but are of a different
|\ |\ |\ |\ |\ |\ |\ |\ |\
histologic type |\
*most commonly solid tumors - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\
✔✔Secondary cancers |\
,What term describes chemicals or processes that, when
|\ |\ |\ |\ |\ |\ |\ |\
combined with genetic traits and an interaction with one |\ |\ |\ |\ |\ |\ |\ |\ |\
another, cause cancer - CORRECT ANSWERS |\ |\ |\ |\ |\ |\
✔✔Carcinogen
A nurse is caring for a 5 yr old who has terminal cancer.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Which of the following statements are true? (Select all
|\ |\ |\ |\ |\ |\ |\ |\ |\
that apply) |\
a) parents may be at different stages in dealing with
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
child's death |\
b) Child is thinking about future and knows he may not be
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
able to participate
|\ |\ |\
c) dying child may become clingy and act like a toddler
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
d) whispering in the room will help the child cope
|\ |\ |\ |\ |\ |\ |\ |\ |\
e) death of a child may have long-term disruptive affects
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
on family |\
f) Child doesn't fully understand the concept of death -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔a) parents may be at different |\ |\ |\ |\ |\ |\ |\ |\
stages in dealing with child's death |\ |\ |\ |\ |\
c) dying child may become clingy and act like a toddler
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
e) death of a child may have long-term disruptive affects
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
on family |\
f) Child doesn't fully understand the concept of death
|\ |\ |\ |\ |\ |\ |\ |\
*b is describing adolescent and d is considered scary
|\ |\ |\ |\ |\ |\ |\ |\
,Parents of a 10 yr old with in operable brain tumor insist
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
that the child not be informed of his condition. Parents are
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
reluctant to tell a child he's dying due to:
|\ |\ |\ |\ |\ |\ |\ |\ |\
a) fear |\
b) anger |\
c) denial |\
d) shock - CORRECT ANSWERS ✔✔c) denial
|\ |\ |\ |\ |\ |\
*could also be a)fear bc afraid of scaring child
|\ |\ |\ |\ |\ |\ |\ |\
A 6 yr old girl has been receiving chemotherapy. She is
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
also receiving TPN via a central line. Which of the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
following nursing diagnoses is the highest priority?
|\ |\ |\ |\ |\ |\
a) Imbalances nutrition: less than body requirements
|\ |\ |\ |\ |\ |\
b) risk for deficient fluid volume
|\ |\ |\ |\ |\ |\
c) risk for infection
|\ |\ |\ |\
d) activity intolerance - CORRECT ANSWERS ✔✔c) risk for
|\ |\ |\ |\ |\ |\ |\ |\ |\
infection
Nurse is caring for a child receiving chemotherapy. The
|\ |\ |\ |\ |\ |\ |\ |\ |\
nurse should be aware that the child may experience
|\ |\ |\ |\ |\ |\ |\ |\ |\
which of the following side effects? (select all that apply)
|\ |\ |\ |\ |\ |\ |\ |\ |\
a) anemia |\
, b) weight gain
|\ |\
c) polycythemia
|\
d) mucositis
|\
e) leukocytosis
|\ |\
f) thrombocytopenia - CORRECT ANSWERS ✔✔a) anemia
|\ |\ |\ |\ |\ |\
d) mucositis
|\
f) thrombocytopenia
|\
The universal 1st reaction of parents to a child's life
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
threatening illness or death is: |\ |\ |\ |\
a) acceptance
|\
b) anger
|\
c) depression
|\
d) shock - CORRECT ANSWERS ✔✔d) Shock
|\ |\ |\ |\ |\ |\
The nurse is assigned to a child w/ ALL who has a platelet
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
count of 35,000. The nurse should implement which of
|\ |\ |\ |\ |\ |\ |\ |\ |\
the following interventions?
|\ |\
a) all visitors should be discouraged from coming to the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
hospital
b) isolation precautions should be started immediately
|\ |\ |\ |\ |\ |\
c) provide a soft toothbrush for mouth care
|\ |\ |\ |\ |\ |\ |\
|\ |\ |\ |\ |\ |\
What term describes programmed cell death when the
|\ |\ |\ |\ |\ |\ |\ |\
cell realizes something is wrong and destroys itself? -
|\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔Apoptosis |\ |\
What is the term for a method of med delivery in which
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the drug is introduced into the spinal canal
|\ |\ |\ |\ |\ |\ |\
*ex: lumbar puncture - CORRECT ANSWERS ✔✔Intrathecal
|\ |\ |\ |\ |\ |\
What is described as a decrease production of blood cells
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
in the bone marrow - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\
✔✔Myelosuppression
What term describes the lowest point in a lab value or
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
serum blood titer - CORRECT ANSWERS ✔✔Nadir
|\ |\ |\ |\ |\ |\
What term describes cancers that appear after the
|\ |\ |\ |\ |\ |\ |\ |\
primary cancer in treatment but are of a different
|\ |\ |\ |\ |\ |\ |\ |\ |\
histologic type |\
*most commonly solid tumors - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\
✔✔Secondary cancers |\
,What term describes chemicals or processes that, when
|\ |\ |\ |\ |\ |\ |\ |\
combined with genetic traits and an interaction with one |\ |\ |\ |\ |\ |\ |\ |\ |\
another, cause cancer - CORRECT ANSWERS |\ |\ |\ |\ |\ |\
✔✔Carcinogen
A nurse is caring for a 5 yr old who has terminal cancer.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Which of the following statements are true? (Select all
|\ |\ |\ |\ |\ |\ |\ |\ |\
that apply) |\
a) parents may be at different stages in dealing with
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
child's death |\
b) Child is thinking about future and knows he may not be
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
able to participate
|\ |\ |\
c) dying child may become clingy and act like a toddler
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
d) whispering in the room will help the child cope
|\ |\ |\ |\ |\ |\ |\ |\ |\
e) death of a child may have long-term disruptive affects
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
on family |\
f) Child doesn't fully understand the concept of death -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔a) parents may be at different |\ |\ |\ |\ |\ |\ |\ |\
stages in dealing with child's death |\ |\ |\ |\ |\
c) dying child may become clingy and act like a toddler
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
e) death of a child may have long-term disruptive affects
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
on family |\
f) Child doesn't fully understand the concept of death
|\ |\ |\ |\ |\ |\ |\ |\
*b is describing adolescent and d is considered scary
|\ |\ |\ |\ |\ |\ |\ |\
,Parents of a 10 yr old with in operable brain tumor insist
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
that the child not be informed of his condition. Parents are
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
reluctant to tell a child he's dying due to:
|\ |\ |\ |\ |\ |\ |\ |\ |\
a) fear |\
b) anger |\
c) denial |\
d) shock - CORRECT ANSWERS ✔✔c) denial
|\ |\ |\ |\ |\ |\
*could also be a)fear bc afraid of scaring child
|\ |\ |\ |\ |\ |\ |\ |\
A 6 yr old girl has been receiving chemotherapy. She is
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
also receiving TPN via a central line. Which of the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
following nursing diagnoses is the highest priority?
|\ |\ |\ |\ |\ |\
a) Imbalances nutrition: less than body requirements
|\ |\ |\ |\ |\ |\
b) risk for deficient fluid volume
|\ |\ |\ |\ |\ |\
c) risk for infection
|\ |\ |\ |\
d) activity intolerance - CORRECT ANSWERS ✔✔c) risk for
|\ |\ |\ |\ |\ |\ |\ |\ |\
infection
Nurse is caring for a child receiving chemotherapy. The
|\ |\ |\ |\ |\ |\ |\ |\ |\
nurse should be aware that the child may experience
|\ |\ |\ |\ |\ |\ |\ |\ |\
which of the following side effects? (select all that apply)
|\ |\ |\ |\ |\ |\ |\ |\ |\
a) anemia |\
, b) weight gain
|\ |\
c) polycythemia
|\
d) mucositis
|\
e) leukocytosis
|\ |\
f) thrombocytopenia - CORRECT ANSWERS ✔✔a) anemia
|\ |\ |\ |\ |\ |\
d) mucositis
|\
f) thrombocytopenia
|\
The universal 1st reaction of parents to a child's life
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
threatening illness or death is: |\ |\ |\ |\
a) acceptance
|\
b) anger
|\
c) depression
|\
d) shock - CORRECT ANSWERS ✔✔d) Shock
|\ |\ |\ |\ |\ |\
The nurse is assigned to a child w/ ALL who has a platelet
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
count of 35,000. The nurse should implement which of
|\ |\ |\ |\ |\ |\ |\ |\ |\
the following interventions?
|\ |\
a) all visitors should be discouraged from coming to the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
hospital
b) isolation precautions should be started immediately
|\ |\ |\ |\ |\ |\
c) provide a soft toothbrush for mouth care
|\ |\ |\ |\ |\ |\ |\