Term
| A child with an altered immune system can go to school based on what? |
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Definition
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Term
| What other medicines besides IV is used for chemo? |
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Definition
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Term
| To help prevent hemmorhagic cystitis, what would you recommend the child do? |
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Definition
| Drink 8-10 glasses of water/day. |
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Term
| A patient has a platelet count of 20000 what nursing intervention is most important? |
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Definition
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Term
| When someone is coming off steroids (prednisone) what would you expect? |
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Definition
| They decrease them slowly |
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Term
| What would someone take to increase neutrophils? |
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Definition
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Term
| What shows if someone is at risk for infection? |
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Definition
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Term
| What are cardinal signs of cancer? |
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Definition
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Term
| What is associated with brain tumors? |
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Definition
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Term
| After surgery for a tumor outside of the cranium, what is best to look at? |
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Definition
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Term
| An adolescent with a bone tumor is most at risk for what? |
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Definition
| Altered body image (remember they may have to get amputation) |
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Term
| With renal failure what is decreased? |
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Definition
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Term
| Remember normal urinary output is 1-2cc/kg/hr |
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Definition
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Term
| Which of the following would you tell a family member to call the doctor post-op after bladder exstrophy? |
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Definition
-Anorexia
-Cloudy urine
-Elevated temp
-inc fuzziness
-odor in incision |
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Term
| What is the purpose of a double diaper technique? |
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Definition
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Term
| What is elevated in neuroblastoma? |
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Definition
| Vanillymandelic acid (VMA) |
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Term
| What would you expect to do when administering blood to a child? |
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Definition
| Give it over a maximum of 4 hours so it doesn't coagulate. |
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Term
| For a child who has a sickle cell crisis, what would you expect to do? |
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Definition
| Give morphine IV around the clock |
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Term
| In tetrology of fallot, what does prostaglandin E help to keep open? |
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Definition
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Term
| A patient stabilizes after a dysrhyhmia. What would you expect to do as a nurse? |
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Definition
| Assist with the vagal maneuver. |
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Term
| A patient is having a tet spell. What would you expect to do? |
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Definition
| Give O2, morphine IV, and put in knee-chest position. |
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Term
| A patient has Kawasaki disease. WHat would you expect to see? |
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Definition
| Long time high fever, red palms, conjunctivitis |
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Term
| A parent is going to be giving iron drops to an infant. What would you tell them to do after they give them? |
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Definition
| Rinse the mouth out with water. |
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Term
| An idiopathic thrombocytopenia purpura patient is in a hospital setting. Which causes most concern? |
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Definition
| Water spilled on the floor |
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Term
| A patient is being discharged after having a hematopietic stem cell transplant. Which is most important to them? |
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Definition
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Term
| A hemophilia patient falls and is bleeding. What should you do? |
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Definition
| Hold pressure for 15 minutes. |
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Term
| What is a systemic sign of congestive heart failure? |
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Definition
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Term
| What is the first sign of digoxin toxicity? |
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Definition
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Term
| What should you tell a girl to eat that has a heavy menstrual period? |
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Definition
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Term
| The anti-emetic drug zofran is being administered to the child receiving chemotherapy, when should the nurse administer the medicine? |
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Definition
| Before the chemotherapy is given |
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Term
| A child is diagnosed with retinoblastoma. What would you expect to see? |
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Definition
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Term
| A child is to begin radiation therapy. The nurse is talking to the family about skin care following the radiation. Which would indicate further teaching is needed? |
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Definition
| The vaseline being applied |
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Term
| A diagnosis for a child undergoing chemotherapy for leukemia-altered nutrition; less than body requirements what is an appropriate goal? |
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Definition
| Caloric intake would be WNL |
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Term
| A child with leukemia has developed pancytopenia. Measures designed to reduce stomatitis include? |
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Definition
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Term
| A patient receiving adriamycin calls and says her urine looks bloody. What does the nurse do? |
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Definition
| Do nothing because this medicine causes the urine to turn red. |
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Term
| A child has been treated with chemo and is now neutropenic. The nurse will teach the parents of this child to do which of the following? |
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Definition
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Term
| Alkylating agents are used in chemotherapy for cancer treatments. The nurse understands that these drugs work by: |
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Definition
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Term
| While the nurse is orienting the child and family about surgery to remove tunors in the child the familystates that they are afraid what will happen the next day. The nurse encourages the family to? |
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Definition
| Talk about their fears and concderns |
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Term
| the nurse is preparing to teach a child about chemotherapy with a drug cytotoxin, an alkylating agent. Which of the following interventions would be considered the highest priority? |
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Definition
| Starting fluid increase 2 days before treatment begins. |
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Term
| Parents of a premature infant with a cyanotic heart defect told that their baby is receiving alprostadel to maintain an opening. What is the primary reason for this? |
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Definition
| It is going to allow mixing of blood between the aorta and the pulmonary artery. |
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Term
| Which of the following assessments is an early sign of congestive heart failure? |
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Definition
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Term
| In feeding an infant with congestive heart failure, the nurse should recommend? |
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Definition
| Feeding a high calorie formula |
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Term
| A priority discharge for families of infants with cyanotic heart defects is which of the following? |
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Definition
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Term
| An infant with VSD is on digoxin. If the infant was to develop digoxin toxicity,the first sign that would be noticed by the mother would be which of the following? |
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Definition
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Term
| Nursing intervention for a stable 10 years old in SVT is? |
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Definition
| Assist them with the vagal maneuver. |
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Term
| A child diagnosed with rheumatic fever and residual heart disease should be taught which of the following? |
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Definition
| You will need to take antibiotics until you are an adult. |
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Term
| Which of the following is the highest priority after a heart catheterization? |
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Definition
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Term
| The nurse finds in an infant that he has stronger pulses in the upper extremities than in the lower, higher BP readings in the arms than in the legs. This could be indicative of which heart defect? |
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Definition
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Term
| The nurse had admitted a child with a cyanotic heart defect. The nurse would expect the initial lab results to show? |
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Definition
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Term
| A chest x-ray is ordered for a child with cardiac problems. The parents ask what an x-ray is going to show about the heart. You say. . . |
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Definition
| It will give us a permanant record of the heart size and configuration. |
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Term
| A chest x-ray is ordered for a child with cardiac problems. The parents ask what an x-ray is going to show about the heart. You say. . . |
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Definition
| It will give us a permanant record of the heart size and configuration. |
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Term
| Which of the following actions by the school nurse is important in the prevention of rheumatic fever? |
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Definition
| Always refer children with sore throats for a throat culture. |
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Term
| A child is being treated for Kawasaki disease, the nurse should instruct the parents upon discharge to? |
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Definition
| Observe for bleeding and report to a healtcare provider. |
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Term
| An 8 year old child has a WBC of 11,000, hemoglobin of 11,000 and a platelet count of 80,000. The nurse knows that? |
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Definition
| WBC & hemoglobin are OK, but the platelet count is low. |
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Term
| Give a teenager with sickle cell anemia and makes all these statements. Which one would concern the nurse the most? |
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Definition
| I'd like to begin training to run a marathon. |
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Term
| A school age child with hemophilia falls on the playground, the nurse should? |
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Definition
| Apply pressure to the area for 15 minutes. |
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Term
| Which of the following is the most appropriate nursing diagnosis for a child with anemia? |
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Definition
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Term
| The nursing diagnosis for the child with DIC is? |
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Definition
| Ineffective tissue perfusion. |
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Term
| A child with ITP is not responding to the medication,. Which of the following procedures will be considered and which of the teachings should the nurse implement? |
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Definition
| A spleenectomy with teaching about risk for infection. |
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Term
| Which bone cancer involves the diaphyseal (shaft) portion of the long bones? |
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Definition
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Term
| When is it possible to do a limb-salvage procedure? |
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Definition
| If bone growth has taken place and a neurobundle is not involved in the tumor. |
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Term
| If both parents are carriers, what is the chance that the child will have sickle cell, and why? |
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Definition
| 25% because it is an autosomal recessive disease. |
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Term
| What is the primary treatment for aplastic anemia? |
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Definition
| Immunosuppressive therapy with anti-thymacyte globulin. |
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