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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.
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The nurse is dealing with a preschool child with a life-threatening illness. What should the nurse remember the child's concept of death is at this age?
- A. That it is final
- B. Only a fear of separation from her parents
- C. That a person becomes alive again soon after death
- D. An understanding based on simple logic
Correct Answer: C
Rationale: The preschooler views death as reversible and temporary.
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.
Why would the nurse urge the family of a dying 12-year-old boy to include his 8-year-old sister in care? (Select all that apply.)
- A. She will feel less neglected by the parents.
- B. She can make amends for past hostilities to her brother.
- C. She will feel increased helplessness.
- D. She can express her feelings through care.
- E. She can experience being supportive of her parents and brother.
Correct Answer: A,B,D,E
Rationale: Including the sibling in care helps reduce feelings of neglect, allows expression of feelings, and fosters a sense of support and connection.
What will the nurse teach the parents of a child with a low platelet count to avoid?
- A. Benadryl
- B. Aspirin
- C. Caffeine
- D. Prednisone
Correct Answer: B
Rationale: Aspirin interferes with platelet function and should be avoided to prevent the risk of prolonged bleeding.
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.