NURS 4010 COMPREHENSIVE TEST BANK 2024- 2025 FINAL
NURS 4010 COMPREHENSIVE TEST BANK 2024- 2025 FINAL
Exam (elaborations)
Exam (elaborations) NURS 4010 COMPREHENSIVE TEST BANK FINAL
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NURS 4010 COMPREHENSIVE TEST BANK 2024- 2025 FINAL
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NURS 4010 COMPREHENSIVE TEST BANK 2024- 2025 FINAL
Exam (elaborations) NURS 4010 COMPREHENSIVE TEST BANK FINAL exam latest version
How do radiotherapy work?
causes double helical-strand breaks in molecules; results in lethal (cell
death) or sublethal (injured cells capable of subsequent repair)
damage→ contributes to late effects (dependi...
NURS 4010 COMPREHENSIVE TEST BANK 2024- 2025 FINAL
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How do radiotherapy work?
causes double helical-strand breaks in molecules; results in lethal (cell
death) or sublethal (injured cells capable of subsequent repair)
damage→ contributes to late effects (depending on body part treated,
dosage, and age of the child at tx)
MOA of chemo: Alkylating Agent
replace hydrogen atom of molecule by alkyl group→ unbalanced growth
of unaffected cell constituents and cell death
MOA of chemo: antimetabolites
inhibit further synthesis of DNA or RNA
MOA of chemo: Plant Alkaloids
arrest cells in metaphase by binding microtubular protein needed for
spindle formation
MOA of chemo: Antitumor antibodies
natural products that interfere with cell division by reacting with DNA to
prevent further replication of DNA and transcription of RNA
NAME the Erikson's type of development
psychosocial
what is Piaget type of development
,cognitive
what is the School-age
6-12 years
The School-age by Erikson
industry v inferiority
Describe the industry v inferiority stage
Eager to develop skills and participate in meaningful useful work
Sense of personal and interpersonal competence
Growing a sense of independence
Feelings may drive from self or the social environment
May occur if incapable/unprepared to assume responsibilities
associated with developing a sense of accomplishment
All children will feel some degree of inferiority regarding skills they
cannot master
Peer approval is a strong motivator in this age group (most at risk for
gang involvement)
school age
Describe the despair phase of separation
Crying stops; evidence of depression; regression (thumb sucking,
bedwetting, using bottle, using pacifier) w/prolong stay in hospital,
essentially giving up; not interested in play/food, withdraws from
others, not communicative
Describe detachment (denial) phase of separation
Resignation but not contentment; superficial adjustment; follow what
you want them to do w/o a fight; obeying, ideal patients, probably
hospitalized for months, interested in surrounding items, interacts w
,family caregivers or strangers, forms new but superficial relationships,
appears happy
This phase of separation may seriously affect attachment to the
parent after separation
detachment (denial)
What is the Patho of leukemia
Unrestricted proliferation of immature WBC precursors at an arrested
(blocked) stage of dev.
Leukemia sxs r/t infiltration of the bone marrow with decreased
production of normal bone marrow cells
neutropenia, anemia, and thrombocytopenia, weak bones prone to
fractures, severe pain from infiltration; infiltration in liver, spleen, and
lymph glands
Other sxs leukemia
pallor, bruising, irritability, fevers, weight loss, limping, pain, sxs similar
to rheumatoid arthritis or mononucleosis
NIs to minimize loss of control
promote freedom of movement, maintain the child's routine, encourage
independence (decision-making, self-care, wearing street clothes),
promote understanding (anticipate and provide info beforehand),
consult child life specialists
NIs to minimize fear of bodily injury
supportive intervention (performing procedures as quick as possible
while maintaining parent-child contact), reassurance of decrease in
disease by explaining (ex. Taking tonsils out won't prevent sore throat,
but another sore throat won't need another sx)
, This group has a fear of mutilation
toddlers and preschoolers
How to evaluate if a child understands a procedure, such as the
removal of a cast
make children draw pictures of what will happen after removing it to
see how they perceive events
Toddlers and preschoolers have poorly defined body boundaries, but
this helps
use of a bandaid, use large surgical bandages for surgical procedures to
show the wound is secured, as it heals, a go towards smaller bandages
so the child knows it's getting better.
Danger with fear of bodily injury
may persist into adulthood and result in avoidance of needed care (ex. If
parents are scared of needles, most likely will not get the child
vaccinated)
This age group experiences fear of internal and external origins, such
as surgery of the heart, scars, pain, and stitches
school age
Adolescents express concern on the procedure but are more anx about
the scar
Parental responses to stressors of hospitalization
disbelief, anger, guilt (genetic disease); fear, anx, frustration, depression
Sibling reactions to stressors of hospitalization
loneliness, fear, worry, guilt; anger, resentment, jealousy; possible
alternative caregiver; parents continue a pattern of overprotection
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