Pediatric Nursing Care for Leukemia
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Questions and Answers

Which of the following should not be included in the care plan for a child with leukemia?

  • Teaching about chemotherapy side effects
  • Administering immunizations (correct)
  • Administering antipyretics PRN
  • Methods to prevent infection
  • What condition is characterized by the absence of ganglionic innervation to part of the bowel?

  • Hirschsprung's Disease (correct)
  • Imperforate anus
  • Intussusception
  • Pyloric stenosis
  • Which type of therapy is utilized alongside traditional therapy?

  • Alternative therapy
  • Supplementary therapy
  • Holistic therapy
  • Complementary therapy (correct)
  • What is the expected urine output for a child weighing 44 pounds?

    <p>22 mL/hour</p> Signup and view all the answers

    What symptom is common for acute poststreptococcal glomerulonephritis?

    <p>Increased blood pressure and marked periorbital edema</p> Signup and view all the answers

    Which of the following factors best mimics the actions of insulin in the body?

    <p>Exercise</p> Signup and view all the answers

    Which statement about hemophilia requires further education?

    <p>Ibuprofen and aspirin can be safely used for hemarthrosis.</p> Signup and view all the answers

    What should be the immediate priority after assessing the airway and respiratory status of a newborn with severe burns?

    <p>Administering oxygen therapy</p> Signup and view all the answers

    Decerebrate posturing in a child indicates an injury to which part of the brain?

    <p>The midbrain</p> Signup and view all the answers

    A toddler with cerebral palsy exhibits hand quivering that worsens as he reaches for an object. This is characteristic of which condition?

    <p>Intention tremor</p> Signup and view all the answers

    According to Erickson’s theory, which stage is the school-age child currently in?

    <p>Industry vs. inferiority</p> Signup and view all the answers

    Which statement concerning Wilms tumor needs further teaching?

    <p>Abdomen can be palpated after diagnosis to assess tumor</p> Signup and view all the answers

    Pediculosis capitis can be transmitted by which of the following methods?

    <p>Sharing a pillow with a child who has lice</p> Signup and view all the answers

    For a child with respiratory distress and wheezing, which symptoms would indicate a critical condition?

    <p>Retractions, increased respirations, pallor</p> Signup and view all the answers

    Which laboratory test is most likely used to diagnose hemophilia A?

    <p>Partial thromboplastin time</p> Signup and view all the answers

    What advice is best for a 12-year-old girl with juvenile rheumatoid arthritis to cope during school?

    <p>Allow extra time in the morning for routine tasks</p> Signup and view all the answers

    The hallmark symptoms of attention deficit hyperactivity disorder (ADHD) include which of the following?

    <p>Impulsivity, hyperactivity, and inattention</p> Signup and view all the answers

    Study Notes

    Leukemia Care

    • Administering immunizations is generally avoided in children with leukemia due to immunocompromised status.
    • Antipyretics can be administered as needed to manage fever in these patients.
    • Methods to prevent infection are critical due to the risk of neutropenia.
    • Education on chemotherapy side effects is essential for treatment preparation.

    Bowel Conditions

    • Hirschsprung's Disease is characterized by the absence of ganglionic innervation in segments of the bowel, leading to bowel obstruction.

    Complementary Therapy

    • Complementary therapy refers to nontraditional methods used alongside conventional medical treatment.

    Pediatric Urine Output

    • Expected urine output for a child weighing 44 pounds is approximately 17-20 ounces per day (calculated using age and weight).

    Acute Poststreptococcal Glomerulonephritis Symptoms

    • Common symptoms include increased blood pressure and marked periorbital edema, rather than elevated serum calcium or clear urine with painful urination.

    Insulin Action Mimicking

    • Exercise best mimics the effects of insulin in promoting glucose uptake and utilization by body tissues.

    Hemophilia Education

    • Statements requiring further teaching include the safety of ibuprofen and aspirin, as they increase bleeding risk in hemophiliacs.
    • Normal blood clotting times and the need for subcutaneous injections instead of intramuscular ones are correctly handled.

    Burn Assessment Priority

    • After assessing airway and respiratory status in a severely burned newborn, starting an IV of Ringer's lactate for fluid resuscitation is the immediate priority.

    Decerebrate Posturing

    • Decerebrate posturing indicates injury to the midbrain, reflecting severe neurological impairment.

    Cerebral Palsy Symptoms

    • The hand quivering when reaching for objects suggests intention tremor, common in children with cerebral palsy.

    Psychosocial Development Stage

    • According to Erikson, school-age children are in the Industry vs. Inferiority stage, where they develop a sense of competence.

    Wilms Tumor Management

    • Requires further understanding that abdominal palpation post-diagnosis can hinder treatment by risking tumor spread.

    Pediculosis Capitis Transmission

    • Transmission can occur through wearing hats or using personal items (like shampoo) belonging to an infected individual.

    Respiratory Distress Symptoms

    • Signs of respiratory distress include retractions, increased respirations, and pallor, signaling a need for immediate medical attention.

    Hemophilia A Diagnosis

    • The Partial thromboplastin time test is utilized to measure factor VIII levels in suspected cases of hemophilia A.

    Coping with Juvenile Rheumatoid Arthritis

    • Advise allowing extra time in the morning to accommodate stiffness and fatigue frequently experienced by affected children.

    Attention Deficit Hyperactivity Disorder Hallmarks

    • Key features of ADHD include impulsivity, excess energy, and inattention, distinguishing it from other behavioral disorders.

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    Description

    This quiz focuses on pediatric nursing care, specifically addressing leukemia management in children. It includes questions on essential care practices such as immunizations, infection prevention, and chemotherapy education. Test your knowledge on critical nursing interventions and conditions related to bowel health.

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