SUBSCRIBE NR 328 Cancer Quiz 1. assessment findings for Wilms tumors Answer Children with Wilms tumors may pre - sent with an abdominal mass (most common finding), hematuria, and hypertension. 2. if a child is receiving chemo and is experiencing N/V what is the highest priority nursing Dx for the nurse to address Answer fluid and electrolyte balance 3. ondansetron Answer N/V 4. how do you help a pre -school aged child cope with surgery to removal neuroblastoma? Answer A 5-year-old is mostly likely fearful of needles, pain, and waking up during surgery. The nurse should ensure the child knows why they are having the surgery, so they do not believe the surgery is a punishment for something they have done wrong. Asking the child to explain back what will happen at the hospital can help ensure the child understands. School age children have active imaginations, so the nurse should honestly answer questions to avoid misunderstanding. Offering choices can increase the child's sense of control. Offering a tour of the facility can decrease anxiety about the procedure. SUBSCRIBE 5. children up to 4 years Answer higher incidence of neuroblastoma and retinoblastoma 6. 15- 19 years Answer higher incidence of lymphoma and sarcoma 7. manifestations of cancer Answer Unusual mass or swelling Unexplained paleness and loss of energy Easy bruising Persistent, localized pain or limping Prolonged, unexplained fever or illness Frequent headaches, often with vomiting Sudden eye or vision changes Unexplained, rapid weight loss 8. The nurse is caring for a 4-year-old who is receiving chemotherapy and is experiencing nausea and vomiting. Which is the best nursing action to address the problem? Answer Allow the child to choose what to eat for meals 9. The nurse is caring for a toddler who is recovering from surgery to remove a cancerous tumor. Which assessment finding best indicates the child's pain is decreasing? Answer Increased interest in play 10. most common type of childhood cancer
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