Essentials of Pediatric Nursing - Chapter 24 Review Questions with Complete Answers Latest Update 2024 (Rated A+)

Essentials of Pediatric Nursing - Chapter 24 Review Questions with Complete Answers Latest Update 2024 (Rated A+) The parents of a 6-year-old child with idiopathic thrombocytopenic purpura (ITP) ask the nurse conducting an assessment of the child what causes the disease. What is the nurse's best response? - Answers "ITP is primarily an autoimmune disease in which the immune system attacks and destroys the body's own platelets, for an unknown reason." A toddler who is beginning to walk has fallen and hit his head on the corner of a low table. The caregiver has been unable to stop the bleeding and brings the child to the pediatric clinic. The nurse is gathering data during the admission process and notes several bruises and swollen joints. A diagnosis of hemophilia is confirmed. This child most likely has a deficiency of which blood factor? Factor X Factor XIII Factor VIII Factor V - Answers Factor VIII The nurse is caring for a child with leukemia. Which nursing intervention would be the highest priority for this child? Providing age-appropriate activities Following guidelines for protective isolation Encouraging the child to share feelings Grouping nursing care - Answers Following guidelines for protective isolation The nurse is planning care for a child with idiopathic thrombocytopenic purpura. Which client education should be included? Not to pick or irritate the nose What foods are high in folic acid To use mainly cold water to wash To apply a soothing cream to lesions - Answers Not to pick or irritate the nose A high-school football player has been diagnosed as having osteosarcoma of the femur. The parents are angry because they told the adolescent not to play football. Which health teaching points would the nurse include in the teaching plan for the adolsecent and parents? Tumor growth is related to your dislike of milk. Football injuries do not contribute to the development of a tumor. Osteosarcoma often follows trauma, such as a football injury. You can expect some discoloration of the leg following chemotherapy. - Answers Football injuries do not contribute to the development of a tumor. The nurse is caring for a 10-year-old boy with hemophilia. He asks the nurse for suggestions about appropriate physical activities. Which activity would the nurse most likely recommend? Soccer Wrestling Baseball Football - Answers Baseball A nurse is reviewing the medical records of several children who have undergone lead screening. The nurse would identify the child with which lead level as requiring no further action? 26 mcg/dL 20 mcg/dL 14 mcg/dL 8 mcg/dL - Answers 8 mcg/dL A 4-year-old child diagnosed with Wilms tumor is admitted for surgery. What information would be most important for the nurse to include in the child's preoperative plan of care? Administering analgesics for pain Avoiding further abdominal palpation Performing dressing changes to the affected area Preparing the child for amputation - Answers Avoiding further abdominal palpation A child receiving chemotherapy is experiencing significant reduction in red blood cells secondary to myelosuppression. Which agent would the nurse most likely expect to be ordered? Gamma interferon Sargramostim Filgrastim Epoetin alfa - Answers Epoetin alfa Why do nurses teach childhood cancer survivors to inform adult health care providers of their prior disease and treatments? To participate in cancer research To obtain health insurance To monitor for late effects To access community support groups - Answers To monitor for late effects Antiemetics are ordered to control nausea and vomiting in the child undergoing chemotherapy. How can the nurse most effectively use these medications? Use the antiemetic after it is clear that nonpharmacologic methods are not effective Start the antiemetic on a scheduled basis when the chemotherapy begins to cause nausea Provide the antiemetic as needed (PRN) when nausea and vomiting are reported Administer the antiemetic before starting chemotherapy - Answers Administer the antiemetic before starting chemotherapy A 3-year-old boy has been brought to the doctor's office with symptoms of anorexia and abdominal pain. A blood test reveals a lead level of 20 μg/100 mL. The child is prescribed an oral chelating agent. On discharge, the nurse should counsel the parents regarding: placing house plants out of reach of children removal or covering of flaking paint on the walls of the home putting child safety locks on kitchen cabinets putting medicine away where children cannot reach it - Answers removal or covering of flaking paint on the walls of the home A nurse is counseling parents of a 7-year-old boy with leukemia regarding the goals of the chemotherapy program for their son. What should she mention as the first goal? a) Prevention of leukemia cells from invading or growing in the CNS b) Administration of delayed intensive therapy c) Maintaining the original remission