NUR 232 LATEST 2023 FINAL EXAM QUESTIONS SOLVED | A GRADE GUARANTEE

What medication can be given before chemo to help with nausea/vomiting? antiemetic- give about 30 minutes before Hodgkins Lymphoma distinguished from other lymphomas by the presence of large, cancerous lymphocytes known as ReedSternberg cells Key finding- enlarged, firm, nodular, lymph nodes Non-Hodgkin's Lymphoma Disease is diffuse rather than nodular, starts from lymphocytes, cells are undifferentiated or poorly differentiated What is the most common head injury in a child? concussion What are the hallmark symptoms of a concussion? confusion and amnesia that can occur with or without LOC What is the NI/Pt teaching for head injury/concussion? wake pt up every couple hours lower screen time Notify dr- seizures, increased headache, confusion Nurses- NPO, I&O, Daily weights, S/S ICP What are the early S/S of IICP HA Nausea Vomiting Visual Disturbance ***Change in LOC What are signs of IICP in a baby? Irritable bulging fontanelles Widened sutures bigger head circumference What are late signs of IICP? Cushings Triad- Increased BP, Low HR, Low RR Fixed Dilated Pupils How do you diagnose IICP? X-ray, CT, MRI, PET **LUMBAR PUNCTURE- don't do until you have CT What is the most common pediatric neuro disorder? Seizures What are the causes of seizures? FEVER IICP Epilepsy Migraines Tumor Trauma Hyperbilirubemia Kernicterus Infection Toxins What ages do febrile seizures occur? 6 months- 5 years What is the most common cancer in kids? Leukemia More common in boys Onset 2-5 yo What is used for the definitive diagnosis for Leukemia? Bone marrow aspiration and biopsy Leukemia cancer of white blood cells WBC high initially then destruction of cells What is the most important thing to remember when diagnosing leukemia? The higher the initial WBC is the lower the prognosis is for the child Leukemia S/S early- low grade fever, pallor, listlessness, enlarged liver, lymph nodes, & jts. Vomiting anorexia. Late- pain, hematuria, ulceration in mouth, enlarged kidneys & testicles, signs of ICP Leukemia Tx - chemotherapy - transfusion of bone marrow, stem cells, platelets -Bone marrow transplant - NO radiation (can't radiate all of the body and the blood) Leukemia pt teaching/NI Neutropenic precautions Soft bristled toothbrush Mouth care Handwash Soft Diet No flowers No contact sports **No aspirin or NSAIDS Reverse Isolation Treat anemia Check CBC- for neutropenia, anemia, thrombocytopenia *Child can return to school when WBC count is back to normal rang