Nokea
A school-aged child is living with a chronic disease process. How would the nurse anticipate chronic illness will effect growth and development? (Select all that apply.)
- A. Delayed bonding with parents
- B. Delayed toilet training
- C. Impaired sense of belonging
- D. Decreased feelings of independence
- E. Impaired speech development
Correct Answer: C,D
Rationale: Chronic illness in school-aged children can lead to a sense of inferiority and reduced independence due to limitations in participation and competition.
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A child with thalassemia major receives blood transfusions frequently. What is a complication of repeated blood transfusions?
- A. Hemarthrosis
- B. Hematuria
- C. Hemoptysis
- D. Hemosiderosis
Correct Answer: D
Rationale: As a result of repeated blood transfusions, excessive deposits of iron (hemosiderosis) are stored in tissues.
On admission, a child with leukemia has widespread purpura and a platelet count of 19,000/mm?³. What is the priority nursing intervention?
- A. Assessing neurological status
- B. Inserting an intravenous line
- C. Monitoring vital signs during platelet transfusions
- D. Providing family education about how to prevent bleeding
Correct Answer: A
Rationale: When platelets are low, the greatest danger is spontaneous intracranial bleeding. Neurological assessments are therefore a priority of care.
A child is diagnosed with iron deficiency anemia. What will the nurse explain can occur if this disorder goes untreated?
- A. Hemorrhage
- B. Heart failure
- C. Infection
- D. Pulmonary embolism
Correct Answer: B
Rationale: Untreated iron deficiency anemias progress slowly, and in severe cases the heart muscle becomes too weak to function.
What should be included in the nursing care of a 12-year-old child receiving radiation therapy for Hodgkin's disease? (Select all that apply.)
- A. Application of sunblock
- B. Appetite stimulation
- C. Conservation of energy
- D. Provision for expressions of anger
- E. Preparation for premature sexual development
Correct Answer: A,B,C,D
Rationale: Sunblock prevents skin burning, and addressing low energy, anorexia, and anger are key aspects of care for a child receiving radiation.
The nurse explains that the COPP medical regimen for the treatment of Hodgkin's disease uses a combination of which drugs? (Select all that apply.)
- A. Vincristine
- B. Cyclophosphamide
- C. Methotrexate
- D. Prednisone
- E. Procarbazine hydrochloride
Correct Answer: A,B,D,E
Rationale: The COPP regimen includes cyclophosphamide, vincristine, prednisone, and procarbazine hydrochloride for treating Hodgkin's disease.