NUR 327 EXAM 4
What are the nursing and collaborative interventions for a
pediatric client with hypertrophic pyloric stenosis?
○IV fluids
○NG tube
○NPO
○Monitor fluid and electrolyte balance
○Vital signs
○Pain control measures
○Gradually advance diet - NPO then Clear Liquids then
Breastmilk/formula
Monitor s/s of infection, feeding tolerance, etc
What are the priority assessments when caring for a pediatric
client with Hirschsprung disease?
- Monitor CBC & CMP
- Monitor for enterocolitis (bowel inflammation)
- Monitor and treat fluid & electrolyte imbalances
- PostOp Care
Monitoring: VS, airway, O2 sat, pain, bleeding at surgical site, bowel
sounds, bowel function
What are the nursing and collaborative interventions for a
pediatric client with Hirschsprung disease?
- Prior to surgery work to improve nutritional status - High protein,
high calorie, low fiber diet
- TPN may be needed
- Bowel prep with saline enema and oral antibiotics
- Use developmentally appropriate teaching
,- Treat fluid & electrolyte imbalances
What are the priority assessments when caring for a pediatric
client with intussusception?
Abdominal assessments - sausage-shaped mass
I&Os
VS - pain & temp
What are the nursing and collaborative interventions for a
pediatric client with intussusception?
- Stabilize client: IV fluids, NG tube
- Educate about procedure using developmentally appropriate
techniques
Which phase in the cancer pathophysiology process is
irreversible?
Promotion
Initiation
Progression
Initiation
Which factors indicate to a nurse that a client with a new cancer
diagnosis is NOT ready for teaching? (Select all that apply)
Lack of motivation to learn
Severe anxiety
Terminal nature of the diagnosis
Inability to focus
Lack of motivation to learn
Severe anxiety
Inability to focus
Which items should not be included in the diet of a client who is
on neutropenic precautions? (Select all that apply)
Raw sushi
, Steak cooked rare
Bottled juice
Blue cheese or gorgonzola cheese (mold-based cheeses)
Yogurt
Cooked vegetables
Raw sushi
Steak cooked rare
Blue cheese or gorgonzola cheese (mold-based cheeses)
Yogurt
A client on chemo has: WBCs 4400 mm3, 29% segs and 7%
bands. Would the nurse put the client on neutropenic
precautions?
No, because the ANC is greater than 1000
Yes, because the ANC is at less than 1000
No, the client has no risk factors for an infection
Yes, this is essential because of the low WBC
No, because the ANC is greater than 1000
A client starting chemo plans to eat dry crackers to help with
nausea during the sessions. How should the nurse respond?
"If this has worked for you in the past, this is a good plan."
"It's better if you don't eat at all to control the nausea."
"You need to be NPO during chemo sessions."
"Your plan to eat a little is good, but dry crackers can cut your
mouth."
"Your plan to eat a little is good, but dry crackers can cut your
mouth."
Which interventions are appropriate for a client with acute
external radiation skin damage? (Select all that apply)
Avoid exposure of he area to the sun
Discourage rubbing the area
What are the nursing and collaborative interventions for a
pediatric client with hypertrophic pyloric stenosis?
○IV fluids
○NG tube
○NPO
○Monitor fluid and electrolyte balance
○Vital signs
○Pain control measures
○Gradually advance diet - NPO then Clear Liquids then
Breastmilk/formula
Monitor s/s of infection, feeding tolerance, etc
What are the priority assessments when caring for a pediatric
client with Hirschsprung disease?
- Monitor CBC & CMP
- Monitor for enterocolitis (bowel inflammation)
- Monitor and treat fluid & electrolyte imbalances
- PostOp Care
Monitoring: VS, airway, O2 sat, pain, bleeding at surgical site, bowel
sounds, bowel function
What are the nursing and collaborative interventions for a
pediatric client with Hirschsprung disease?
- Prior to surgery work to improve nutritional status - High protein,
high calorie, low fiber diet
- TPN may be needed
- Bowel prep with saline enema and oral antibiotics
- Use developmentally appropriate teaching
,- Treat fluid & electrolyte imbalances
What are the priority assessments when caring for a pediatric
client with intussusception?
Abdominal assessments - sausage-shaped mass
I&Os
VS - pain & temp
What are the nursing and collaborative interventions for a
pediatric client with intussusception?
- Stabilize client: IV fluids, NG tube
- Educate about procedure using developmentally appropriate
techniques
Which phase in the cancer pathophysiology process is
irreversible?
Promotion
Initiation
Progression
Initiation
Which factors indicate to a nurse that a client with a new cancer
diagnosis is NOT ready for teaching? (Select all that apply)
Lack of motivation to learn
Severe anxiety
Terminal nature of the diagnosis
Inability to focus
Lack of motivation to learn
Severe anxiety
Inability to focus
Which items should not be included in the diet of a client who is
on neutropenic precautions? (Select all that apply)
Raw sushi
, Steak cooked rare
Bottled juice
Blue cheese or gorgonzola cheese (mold-based cheeses)
Yogurt
Cooked vegetables
Raw sushi
Steak cooked rare
Blue cheese or gorgonzola cheese (mold-based cheeses)
Yogurt
A client on chemo has: WBCs 4400 mm3, 29% segs and 7%
bands. Would the nurse put the client on neutropenic
precautions?
No, because the ANC is greater than 1000
Yes, because the ANC is at less than 1000
No, the client has no risk factors for an infection
Yes, this is essential because of the low WBC
No, because the ANC is greater than 1000
A client starting chemo plans to eat dry crackers to help with
nausea during the sessions. How should the nurse respond?
"If this has worked for you in the past, this is a good plan."
"It's better if you don't eat at all to control the nausea."
"You need to be NPO during chemo sessions."
"Your plan to eat a little is good, but dry crackers can cut your
mouth."
"Your plan to eat a little is good, but dry crackers can cut your
mouth."
Which interventions are appropriate for a client with acute
external radiation skin damage? (Select all that apply)
Avoid exposure of he area to the sun
Discourage rubbing the area
