Peds Chapter 24 Exam Questions With 100% Correct Answers 2024.

Peds Chapter 24 Exam Questions With 100% Correct Answers 2024. The nurse is caring for a 16-year-old boy with acute myelogenous leukemia who is having chemotherapy and who has incomplete records for varicella zoster immunization. Which is the priority nursing diagnosis? A)Pain related to adverse effects of treatment verbalized by the child B)Nausea related to side effects of chemotherapy verbalized by the child C)Constipation related to the use of opioid analgesics for pain D)Risk for infection related to neutropenia and immunosuppression - CORRECT ANSWER D. Risk for infection related to neutropenia and immunosuppression. The priority nursing diagnosis is risk for infection related to neutropenia and immunosuppression. The incomplete records for varicella zoster immunization can cause a problem since exposure to chickenpox could cause sepsis, so the nurse should contact the oncologist for approval to administer the vaccine. Certain vaccines are not administered when the child is immunosuppressed, so timing is crucial. Diagnoses for pain and nausea are valid for this child because he is undergoing chemotherapy, but they are not a priority. Likewise, the need for constipation management would not be necessary unless opioid use begins. The nurse is caring for an 8-year-old girl who has been diagnosed with leukemia and will have a variety of tests, including a lumbar puncture, before beginning chemotherapy. What action would be the priority? A)Applying EMLA to the lumbar puncture site B)Educating the child and family about the testing procedures C)Administering promethazine as ordered for nausea D)Educating the family about chemotherapy and its side effects - CORRECT ANSWER B. Educating the child and family about the testing procedures. The priority would be educating the child and family about the testing procedures so they know what to expect and understand why the tests are being performed. Applying EMLA to the lumbar puncture site will be done prior to the procedure. The family will be educated about chemotherapy and its side effects prior to the therapy beginning, and promethazine or other antiemetics will be administered once chemotherapy has begun. The nurse is caring for a 13-year-old boy with acute myelogenous leukemia who is experiencing feelings of powerlessness due to the effects of chemotherapy. What intervention will best help the teen's sense of control? A)Involving the boy in decisions whenever possible B)Acknowledging the boy's feelings of anger with the disease C)Providing realistic expectations of treatments and outcomes D)Recognizing abilities that are unaffected by the disease - CORRECT ANSWER A. Involving the boy in decisions whenever possible. Involving the boy in the decision-making process will best help his sense of control. Whether he is included in important decisions about therapy or minor decisions like menus or dress, it will give him a sense of control over his situation. Acknowledging feelings of anger, recognizing his abilities, and providing realistic expectations will reduce body image disturbance and build self-esteem. The nurse is caring for a 5-year-old girl with a disseminated medulloblastoma. What intervention would be most appropriate for this situation? A)Providing emotional support to the parents and siblings of the child B)Recommending support groups for people whose children have cancer C)Encouraging the family to cry and express feelings away from the child D)Educating the family about the disease, its treatments, and side effects - CORRECT ANSWER C. Encouraging the family to cry and express feelings away from the child. The outcome of this highly malignant medulloblastoma is often not positive. Helping the family through anticipatory grieving by encouraging the family to cry and express feelings away from the child would be unique to this child's situation. Educating the family about the disease, its treatments, and side effects;