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Ch. 43 NCLEX Questions :Hem/Onc
Terms in this set (14)
The nurse is explaining blood components to an 8-year-old child. The nurse could best describe platelets by explaining that they:
A: help keep germs from causing infection.
B: make up the liquid portion of blood.
C: carry the oxygen you breathe from your lungs to all parts of your body.
D: help your body stop bleeding by forming a clot (scab) over the hurt area. CORRECT
The parent of a child receiving an iron preparation tells the nurse that the child's stools are a tarry green color. The nurse should explain that this is a/an:
A: symptom of iron-deficiency anemia.
B: adverse effect of the iron preparation.
C: indicator of an iron preparation overdose.
D: normally expected change caused by the iron preparation. CORRECT
The MOST important nursing consideration when caring for a child with sickle cell anemia is to:
A: teach parents and child how to minimize crises. CORRECT
B: refer parents and child for genetic counseling.
C: help the child and family to adjust to a short-term disease.
D: observe for complications of multiple blood transfusions.
A child with sickle cell anemia develops severe chest pain, fever, a cough, and dyspnea. The FIRST action by the nurse is to:
A: administer 100% oxygen to relieve hypoxia.
B: administer meperidine (Demerol) to relieve symptoms.
C: notify the practitioner because chest syndrome is suspected. CORRECT
D: notify the practitioner because child may be having a stroke.
The school nurse is caring for a boy with hemophilia who fell on his arm during recess. What supportive measure should the nurse do until factor replacement therapy can be instituted?
A: Apply warm, moist compresses
B: Apply pressure for at least 1 minute
C: Elevate area above the level of the heart CORRECT
D: Begin passive range of motion unless pain is severe
What is the most appropriate action for stopping an occasional episode of epistaxis (nose bleeding)?
A: Have child sit up and lean forward. CORRECT
B: Apply ice under the nose and above lip.
C: Have the child lie down quietly with feet elevated.
D: Apply continuous pressure to the nose with thumb and forefinger for at least 1 minute.
What are the most common signs and symptoms of leukemia related to bone marrow involvement?
A: Petechiae, infection, fatigue CORRECT
B: Headache, papilledema, irritability
C: Muscle wasting, weight loss, fatigue
D: Decreased intracranial pressure, psychosis, confusion
Nursing care of the child with myelosuppression from leukemia or chemotherapeutic agents should include:
A: restricting oral fluids.
B: instituting strict isolation.
C: using good handwashing. CORRECT
D: giving immunizations appropriate for age.
Nursing considerations related to the administration of chemotherapeutic drugs include:
A: many chemotherapeutic agents are vesicants that can cause severe cellular damage if the drug infiltrates. CORRECT
B: good handwashing is essential when handling chemotherapeutic drugs, but gloves are not necessary.
C: infiltration will not occur unless superficial veins are used for the intravenous infusion.
D: anaphylaxis cannot occur because the drugs are considered toxic to normal cells.
What is appropriate mouth care for a toddler with mucosal ulceration related to chemotherapy?
A: Lemon glycerin swabs for cleansing
B: Mouthwashes with normal saline CORRECT
C: Mouthwashes with hydrogen peroxide
D: Local anesthetic such as viscous lidocaine before meals
A child diagnosed with lymphoma is receiving extensive radiation therapy. The MOST common side effect of this treatment is:
A: fatigue CORRECT
The school nurse is discussing prevention of acquired immune deficiency syndrome with some adolescents. In the discussion the nurse should include that the:
A: virus is easily transmitted.
B: virus is only transmitted through blood.
C: intravenous drug users should not share needles. CORRECT
D: condoms should be used if adolescents are sexually active and homosexual.
The nurse suspects that a child is having an adverse reaction to a blood transfusion. The FIRST action by the nurse should be to:
A: notify the physician.
B: take vital signs and blood pressure and compare them with baseline.
C: dilute infusing blood with equal amounts of normal saline.
D: stop transfusion and maintain a patent intravenous line with normal saline and new tubing-CORRECT
A child is status post-hematopoietic stem cell transplantation (HSCT) and is preparing for discharge home. Based on the nurse's knowledge of HSCT, which concepts are important to include in the discharge teaching plan of care? (Select all that apply.)
A: Preparing the child to return to school within 6 weeks
B: Keeping the child on a high-calcium diet-CORRECT
C: Avoiding live plants and fresh vegetables-CORRECT
D: Avoiding influenza vaccinations
D: Practicing good hygiene-CORRECT
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