lOMoAR cPSD| 42147428
NURS 444 PEDIATRIC
CLINICAL PHARMACOLOGY
SHERPATH CANCER QUIZ A+
GRADED RATED A.
, lOMoAR cPSD| 42147428
Incorrect (5)
A child receiving chemotherapy for cancer develops an aversion to food.
Which step can the nurse take to provide adequate nutrition to the
child?
Consider adding tofu to the diet of the child.
Offer the favorite food of the child during chemotherapy.
Avoid serving full-fat yogurt.
1/35
, lOMoAR cPSD| 42147428
Ensure the child has full meals rather than snacks in between.
Rationale
The nurse should consider adding tofu to the child’s diet. The child needs a high-
protein, high-calorie diet and tofu is high in protein. The nurse should refrain from
offering the child’s favorite foods while the child is receiving chemotherapy so that the
child does not develop aversion to those meals. Full-fat yogurt is high in calories and
should be given to the child in place of low-fat or nonfat dairy products. High-calorie
snacks, such as peanut butter and dried fruits, can increase the child’s calorie intake,
and the child should be allowed to snack in between meals if desired.
STUDY TIP: Do not change your pattern of study. It obviously has contributed to your
being here, so it worked. If you have studied alone, continue to study alone. If you
have studied in a group, form a study group.
p. 817
How would the nurse maintain fluid regulation in a child after a
supratentorial procedure? Select all that apply. One, some, or all
responses may be correct.
Starting with clear water at first
Stopping oral liquids if the child vomits
Infusing fluids as per the maintenance rate
Avoiding administration of a hypertonic solution of mannitol
Continuing intravenous fluids until the child becomes well tolerant to oral
fluids
Rationale
2/35
, lOMoAR cPSD| 42147428
After a supratentorial brain surgery, when the child is alert, the child can be given clear
water. There is always a chance of aspiration; thus clear water is the safest liquid to
ingest. If the child vomits, oral liquids should be stopped. Until oral fluids are well
tolerated, intravenous fluids should be continued. Postoperatively, fluids should be
infused at less than the maintenance rate. A hypertonic solution of mannitol may be
administered to remove the excess fluid.
p. 831
A 6-year-old child is on chemotherapy for acute lymphocytic leukemia.
The child refuses to take the drugs because of severe episodes of
delayed vomiting in previous chemotherapy cycles. Which drug regimen
most helps to prevent this from occurring?
Corticosteroids, such as dexamethasone, given after completion of
chemotherapy
5-HT3 receptor antagonist, such as ondansetron, given before the first dose of
chemotherapy
Corticosteroids, such as dexamethasone, given both before the start of
chemotherapy and routinely after for 24 hours.
5-HT3 receptor antagonist, such as ondansetron, given both before
chemotherapy and routinely for 24 hours after.
Rationale
Nausea and vomiting can occur shortly after administration of chemotherapeutic
drugs or can occur as a delayed response. This can be a very traumatic experience for
the child. The most beneficial regimen for antiemetic control has been the
administration of 5-HT3 receptor antagonist, such as ondansetron, 30 minutes to 1
hour before the start of chemotherapy then routinely for the next 24 hours.
Dexamethasone has also found to be beneficial when used in conjunction with
ondansetron, not when used alone.
Test-Taking Tip: Be alert for grammatical inconsistencies. If the response is intended
3/35
NURS 444 PEDIATRIC
CLINICAL PHARMACOLOGY
SHERPATH CANCER QUIZ A+
GRADED RATED A.
, lOMoAR cPSD| 42147428
Incorrect (5)
A child receiving chemotherapy for cancer develops an aversion to food.
Which step can the nurse take to provide adequate nutrition to the
child?
Consider adding tofu to the diet of the child.
Offer the favorite food of the child during chemotherapy.
Avoid serving full-fat yogurt.
1/35
, lOMoAR cPSD| 42147428
Ensure the child has full meals rather than snacks in between.
Rationale
The nurse should consider adding tofu to the child’s diet. The child needs a high-
protein, high-calorie diet and tofu is high in protein. The nurse should refrain from
offering the child’s favorite foods while the child is receiving chemotherapy so that the
child does not develop aversion to those meals. Full-fat yogurt is high in calories and
should be given to the child in place of low-fat or nonfat dairy products. High-calorie
snacks, such as peanut butter and dried fruits, can increase the child’s calorie intake,
and the child should be allowed to snack in between meals if desired.
STUDY TIP: Do not change your pattern of study. It obviously has contributed to your
being here, so it worked. If you have studied alone, continue to study alone. If you
have studied in a group, form a study group.
p. 817
How would the nurse maintain fluid regulation in a child after a
supratentorial procedure? Select all that apply. One, some, or all
responses may be correct.
Starting with clear water at first
Stopping oral liquids if the child vomits
Infusing fluids as per the maintenance rate
Avoiding administration of a hypertonic solution of mannitol
Continuing intravenous fluids until the child becomes well tolerant to oral
fluids
Rationale
2/35
, lOMoAR cPSD| 42147428
After a supratentorial brain surgery, when the child is alert, the child can be given clear
water. There is always a chance of aspiration; thus clear water is the safest liquid to
ingest. If the child vomits, oral liquids should be stopped. Until oral fluids are well
tolerated, intravenous fluids should be continued. Postoperatively, fluids should be
infused at less than the maintenance rate. A hypertonic solution of mannitol may be
administered to remove the excess fluid.
p. 831
A 6-year-old child is on chemotherapy for acute lymphocytic leukemia.
The child refuses to take the drugs because of severe episodes of
delayed vomiting in previous chemotherapy cycles. Which drug regimen
most helps to prevent this from occurring?
Corticosteroids, such as dexamethasone, given after completion of
chemotherapy
5-HT3 receptor antagonist, such as ondansetron, given before the first dose of
chemotherapy
Corticosteroids, such as dexamethasone, given both before the start of
chemotherapy and routinely after for 24 hours.
5-HT3 receptor antagonist, such as ondansetron, given both before
chemotherapy and routinely for 24 hours after.
Rationale
Nausea and vomiting can occur shortly after administration of chemotherapeutic
drugs or can occur as a delayed response. This can be a very traumatic experience for
the child. The most beneficial regimen for antiemetic control has been the
administration of 5-HT3 receptor antagonist, such as ondansetron, 30 minutes to 1
hour before the start of chemotherapy then routinely for the next 24 hours.
Dexamethasone has also found to be beneficial when used in conjunction with
ondansetron, not when used alone.
Test-Taking Tip: Be alert for grammatical inconsistencies. If the response is intended
3/35
