Nokea
An adolescent is diagnosed with Hodgkin's disease. Lymph nodes on both sides of her diaphragm have been found to be involved, including cervical and inguinal nodes. Which disease stage is this?
- A. I
- B. II
- C. III
- D. IV
Correct Answer: C
Rationale: Lymph node regions on both sides of the diaphragm are consistent with a diagnosis of stage-III Hodgkin's disease.
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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.
The nurse is teaching the parents of a young child with iron deficiency anemia about nutrition. What food would the nurse emphasize as being a rich source of iron?
- A. An egg white
- B. Cream of Wheat
- C. A banana
- D. A carrot
Correct Answer: B
Rationale: Good nutritional sources of iron include boiled egg yolk, liver, green leafy vegetables, Cream of Wheat, dried fruits, beans, nuts, and whole-grain breads.
What would the nurse include in a teaching plan about mouth care of a child receiving chemotherapy?
- A. Use commercial mouthwash.
- B. Clean teeth with a soft toothbrush.
- C. Avoid use of a Water-Pik.
- D. Inspect the mouth weekly for ulcerations.
Correct Answer: B
Rationale: A soft toothbrush reduces capillary damage and mucous membrane breakdown and prevents bleeding and infection.
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.
What important focus of nursing care for the dying child and the family should the nurse implement?
- A. Nursing care should be organized to minimize contact with the child.
- B. Adequate oral intake is crucial to the dying child.
- C. Families should be made aware that hearing is the last sense to stop functioning before death.
- D. It is best for the family if the nursing staff provides all of the child's care.
Correct Answer: C
Rationale: Hearing is intact even when there is a loss of consciousness.