Nokea
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.
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What will the nurse administer with ferrous sulfate drops when providing them to a child on the pediatric unit?
- A. With milk
- B. With orange juice
- C. With water
- D. On a full stomach
Correct Answer: B
Rationale: Vitamin C aids in the absorption of iron, whereas food and milk interfere with the absorption of iron.
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 should the nurse closely assess in a child receiving a transfusion?
- A. Fever
- B. Lethargy
- C. Jaundice
- D. Bradycardia
Correct Answer: A
Rationale: The child receiving a blood transfusion is observed for signs of a transfusion reaction including chills, itching, fever, rash, headache, and back pain.
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.
The nurse is caring for a child with a low platelet count. What skin assessments would alert the nurse to bleeding? (Select all that apply.)
- A. Petechiae
- B. Purpura
- C. Ecchymosis
- D. Hematoma
- E. Lymphadenopathy
Correct Answer: A,B,C,D
Rationale: The reduction or destruction of platelets in the body interferes with the clotting mechanism, leading to skin lesions such as petechiae, purpura, ecchymosis, and hematoma.