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Unit 9: Peds Hem/Onc & Grief/Loss Flashcards | StudBud
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Unit 9: Peds Hem/Onc & Grief/Loss
Unit 9: Peds Hem/Onc & Grief/Loss
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1
When both parents are carriers of the sickle cell trait, what is the chance their child will be dx with sickle cell?
75%
25%
50%
100%
2
A 10 year-old child is admitted for a sickle cell vaso-occlusive crisis. Interventions should include
pain management and heparin administration
IV fluids and pain management
oxygen and factor VIII replacement
Correct acidosis
3
3 y.o. Maggie is diagnosed w/ ALL. She is crying & complains of bilat. knee pain. What intervention is most appropriate?
Encourage a diversional activity
Administer acetaminophen
Apply heat and elevate the knees
Administer aspirin
4
Which of the following assessment findings are
expected signs of impending death
in a pediatric patient?
Low sensitivity to light/heat
Confusion
Fatigue/difficulty speaking
Decreased HR
Increased BP
Decreased thirst
5
Which of the following parent statements indicates a correct understanding of a school-age child's response to death?
“My child may personify death and want to attend the funeral.”
"My child will not show interest in the funeral services."
"They are too young to understand grief and should not attend funerals."
"My child may view death like someone is just asleep."
6
A child is admitted for sickle cell crisis. Which of the following would the nurse do
first
for ample pain management?
Complete pain assessment with standardized pain scale
Administer meperidine per order
Use guided imagery/therapeutic touch
Administer an NSAID per order
7
A mother brings her child in for suspected iron-deficiency anemia. What symptoms would be indicative of this diagnosis?
Pallor
Bradypnea
Tachycardia
Murmur
Fever
Fatigue
8
A 5 y.o. has iron-deficiency anemia & an iron susp. Which statement by the parent indicates need for further teaching?
"She should eat high-fiber foods to reduce constipation"
"We need to measure the liquid carefully to give the right amount"
"We'll try to promote greater fluid intake throughout the day"
"We'll avoid juices with Vitamin C to reduce stomach upset"
9
A mom states "I keep thinking he'll run through the door" after the loss of her 6y/o. What is the nurse's best response?
“This is common during this stage of loss. I’m here to support you.”
“At least your child isn’t suffering anymore.”
“You need to try to accept the reality of the death so you can move on.”
“You should consider joining a support group to help process your grief.”
10
The nurse is creating a care plan for a child with a Wilms tumor. What interventions should she include?
SATA.
Perform weekly weights to assess for weight gain
Monitor blood pressure for hypertension
Monitor temperature for fever
Palpate the abdomen for increased size of the tumor
Monitor bowel sounds
11
A child is brought in by a concerned parent. What symptoms would the nurse look for when concerned for cancer?
Excessive weight gain
Unexplained, prolonged fever
Headache
Easy bruising
Unusual mass
Increased energy
12
What statement made by a parent is correct about an infant's response to death?
"Infants may ask repeated questions about where the person has gone."
"They may sense loss through changes in routine and caregivers."
"Infants often act our aggressively."
"They understand that death is final & are fearful of dying themselves."
13
Which of the following explanations best reflects the nurse’s understanding of the preschooler’s concept of death?
Personify death
Have no understanding and are unaffected
Understand that death is final
May believe that the person will come back, view as a punishment
14
Which nursing interventions should be included for a child with leukemia who is at risk of infection?
SATA.
Use strict aseptic technique for all procedures
Allow plants and flowers at the bedside
Place the child in a semiprivate room
Encourage handwashing for patient and family
Apply firm pressure to a needle-stick site for a minimum of 5 minutes
Ensure no sick visitors
15
A nurse is teaching about iron-deficiency anemia in a formula-fed 6 m.o. Which statement by Mom requires follow up?
"My child should not take iron with cow's milk"
"We should try iron-fortified formula/cereal before iron drops"
"Iron-fortified formulas come with significant GI side effects"
"Iron drops are overall safe but can cause constipation"
16
The nurse is teaching parents about s/s to expect in their child w/ hemophilia. What should the nurse include?
SATA.
Hemarthrosis
Constant hematuria
Few bruises
Prolonged/excessive bleeding
17
The nurse is educating parents on possible signs of an osteosarcoma. What should he include in the teaching?
"Pain isn't associated with growing pains"
"Girls are usually more susceptible than boys"
"Osteosarcomas often do not affect gait in any way"
"We often see these tumors in the legs, arms, and pelvis"
18
Which statement by the parent indicates an understanding of teaching for a child with sickle cell disease?
"It's important for my child to drink plenty of fluids"
"He should wear protective equipment if playing contact sports"
"My child will need to be on constant pain-reducing medication for life"
"My child shouldn't get any immunizations until he is older"
19
An adolescent with a Ewing sarcoma asks about what to expect during treatment. What education should the nurse provide?
"Growth plate development may be affected and the limb can be shorter"
"You can use your leg as tolerated"
"You will need to be on constant bedrest"
"You should limit fluid intake during treatment"
20
Which of the following behaviors would the nurse most likely observe as part of the adolescent’s response to death?
Personifies death in the form of the grim reaper
Regresses to earlier behaviors like thumb-sucking
Believes that funerals are a waste of time
Believes that death is temporary & reversible
21
A mother brings her 2 y.o. in for one-sided abdominal swelling & weight loss. The nurse should avoid which step?
Assessing urine for hematuria
Taking the child's blood pressure
Temperature monitoring
Palpating the abdomen for a mass
22
Which statement from a parent of a child w/ leukemia indicates need for further teaching regarding infection monitoring?
"I will inspect the skin for redness daily"
"I will perform proper handwashing techniques"
"I will inspect the mouth daily for lesions"
"I will take a rectal temperature daily"
23
A dad brings his 2 y.o. son in to for enucleation d/t retinoblastoma. What statement requires intervention by the nurse?
"There should be little to no drainage in the socket"
"My child will have no visible symptoms immediately post-op"
"We should keep the socket clean, dry, and covered at all times"
"We should monitor for increased redness, swelling, and fever post-op"
