Nursing intervention and education for sickle cell crisis? - Answers-ensure the pt continues with their
vaccinations to keep from getting any real illness
Treatment for sickle cell crisis? - Answers-monitor oxygen
-treat with hydration (normal saline or D5W) and pain control (includes IV opioids for severe pain and be
sure to reevaluate pain as well as the need for supplemental oxygen)
What is another word for sickle cell crisis? - Answersvasoocclusive crisis
On cancer, if a child has a brain tumor, what do they evaluate for? - Answersunsteady gait (balance
problems)
What kind of isolation do you put a Wilm's tumor surgery pt in? - Answersreverse isolation
What do you see with a Hodgkin's lymphoma if doing assessment? What will you see? -
Answersenlarged lymph nodes and extreme fatigue or weakness
What is considered an effective treatment for newly diagnosed Hodgkin's pt before they go into
surgery? - Answerschemo, radiation, stem cell transplant if needed
How will you make sure you have identified Hodgkin's lymphoma or where the location of the cancer is?
- Answerslabwork, history, LP, bone marrow biopsy, PET scan, MRI, and CT scan
What would be your lab workup for Hodgkin's lymphoma? - AnswersCBC (if looking for ALL, looking for
immature cells which will be identified by blasts)
You have a teenager you are talking to them about testicular self exam? What do you tell them? -
Answers-examine in mirror once a month and report to provider if any unusual lumps, bumps or
tenderness
-instruct to gently roll scrotum with fingers to feel for surface of testicles for lumps, bumps, and
tenderness
-look for change in size or asymmetry
If you have an anaphylactic episode for school age child, what would be priority of care? -
Answersepinephrine then call 911
What are the most common sexually transmitted diseases? - Answersgonorrhea, chlamydia, syphilis
If there is a cancroid identified and need to report an HIV status, who does the notification? -
Answersnurse notifies provider who will talk to lab about which ones you want to actually do the
notification to keep it confidential, any follow up done will be through the provider
What is another word for pertussis? - Answerswhooping cough
, If you are taking care of a child with whooping cough/pertussis, what is your responsibility? - Answers-
keeping open airway
-clear breath sounds
-normal RR
-normal respiratory effort
-helping to cough up secretions and deep breathe
-observe if going to use any accessory muscles
-keep in a dark quiet room to decrease stimulation and prevent severe coughing fits
-give frequent small meals
-use good hand washing technique
What would be immunizations for 12 month old? - Answersflu, MMR, varicella, and pneumococcal and
catch up on any they might be behind on
What are the contradictions to giving an MMR vaccine? - Answers-allergy to eggs
-pregnant women
-immunodeficiency
-wait 4 weeks
How do you manage a child that has varicella? - Answers-contact precaution
-give cool bath with baking soda, uncooked oatmeal, can put calamine lotion to itchy spots, a soft bland
diet because mouth sores, Benadryl antihistamines, Tylenol for mild fever, acyclovir or antivad for
severe case
Teaching parents of child who has been diagnosed with HIV or AIDS, what do you tell them? - Answers-
make them understand it is traveled through bodily fluids
-blood tests will confirm
-child should not become sexually active but if they do, use condoms
-be faithful to one partner
-ppl with HIV are infected for life but virus is fragile and not easily spread
-parents should talk about HIV and AIDS with their child