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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. - THE CORRECT ANSWER -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 - THE CORRECT ANSWER -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 - THE CORRECT ANSWER -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 - THE CORRECT ANSWER -
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 - THE CORRECT ANSWER -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 - THE CORRECT ANSWER
-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 - THE
CORRECT ANSWER -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