NR328 / NR-328 Exam 2 (Latest Update 2024 / 2025): Pediatric Nursing | Complete Guide with Questions and Verified Answers | 100% Correct - Chamberlain

NR328 / NR-328 Exam 2 (Latest Update 2024 / 2025): Pediatric Nursing | Complete Guide with Questions and Verified Answers | 100% Correct - Chamberlain Question: How long can tordal be given to pediatric patients? Answer: 3 days.. it is used for musculoskeletal issues in palliative care for children who have cancer ** in palliative care, make sure to utilize nonpharmacological methods like toys, playing, oral sucralose, and swaddling Question: What kind of pain medication is used for patients who have moderate to severe pain with cancer? - morphine is the drug of choice - oxycodone (oxycontin) and fentanyl (duragesic) may also be used - the goal is to give optimal dosage to control pain without causing severe adverse effects - side effects may include respiratory depression, constipation, and nausea Answer: opioids ** a combination of non opioid and opioid drugs offers greater analgesic with fever adverse effects (treats pain peripherally and centrally) Question: - most diagnosed pediatric malignancy in children under 14 years of age - proliferation of abnormal WBCs (immature WBCs cause no room for RBCs, WBCs, and platelets in the bone marrow) - before diagnose, they will present with signs of anemia and infection due to low RBCs and WBCs Manifestations: - pallor - bruising - abdominal pain from spleen enlargement - headache - swollen lymph nodes Treatment for the course of several months: - induction/remission --> <5% of leukemic cells in the bone marrow - intensification (consolidation) --> destroy any remaining leukemic cells followed by a delayed intensification to prevent any resistant leukemic cells from emerging - maintenance --> sustain remission phase - if ANC gets too low, we may need to stop chemo and continue again when they increase - GOAL = less than 5% of blast cells - chemotherapy is given via central line or port - corticosteroids to minimize adve Answer: leukemia (acute lymphoblastic leukemia) Question: cancer of the lymph nodes Manifestations: - enlarged, non tender, firm, movable lymph nodes on the neck, under arms, or groin - anorexia - fever - night sweats - fatigue - pruritus - weight loss Nursing considerations: - not found until later stages after it metastasis Treatment: - chemo - radiation Answer: hodgkins lymphoma Question: most commonly occurring solid tumors in children Manifestations: - headache - seizure - behavior changes - bulging fontanel - increased ICP - irritability - high pitched cry Treatment: - debulk surgery - radiation - chemo Answer: brain tumors ** infants can be born with brain tumors Question: solid, smooth, hard, and non tender mass that can occur anywhere along the sympathetic nervous system chain (neck, chest, brain); most common above the kidneys on the adrenal gland Manifestations: - dyspnea - lump in the abdomen, neck, or chest - bone pain - tachycardia, hypertension - weight loss - problems with urinating (poor kidney function) - abdominal distention - horner syndrome (decreased pupil size, ptosis, decreased sweating to the affected side of the face) Treatment: - debulk surgery - radiaiton - chemo Nursing considerations: - mass will cross midline (starts one one kidney then spreads to the other one) - silent tumor Answer: neuroblastoma Question: A nurse is teaching the parent of a child who has a Wilms' tumor. Which of the following statements should the nurse include in the teaching? (Select all that apply.) A."Your child will need to have chemotherapy for 12 months." B."Wilms' tumors are typically genetic in nature." C."Surgery is done usually within 48 hours of diagnosis." D."Palpating the tumor could cause spread of the cancer." E."Further treatments will start immediately after surgery." Answer: C,D,E