Childhood Cancer
Blood Transfusions
Lab Values
Patient/Family Teaching
Misc
100
Most common form of cancer in childhood.
What is Leukemia?
100
Chills, itching, fever, rash, headache, and back pain.
What are signs of a transfusion reaction? If a blood transfusion reaction occurs, the first action is to stop the blood infusion, keep the line open with normal saline, and notify the charge nurse.
100
______________ if the priority assessment for a child with a low platelet count.
What is assessing neurological status? When platelets are low, the greatest danger is spontaneous intracranial bleeding. neurological assessments are therefore a priority of care.
100
Teach the child/parents with a low platelet count to avoid __________________.
Drugs that interfere with platelet function should be avoided to prevent bleeding. These include aspirin, phenylbutazone (Butazolidin), and phenacetine, acetylsalicylic acid, and caffeine (APC).
100
______________ is the last sense to stop functioning before death.
What is Hearing? Hearing is intact even when there is a loss of consciousness.
200
_1._______________ is an overproduction of immature white blood cells in the bone marrow which can result in ___2. ________________.
What is 1. Acute Lymphoblastic Leukemia? 2.an overproduction of immature white blood cells increases the child's susceptibility to infection.
200
___________ results from repeated blood transfusions, excessive deposits of iron are stored in tissues.
What is Hemosiderosis?
200
Normal platelet count for a child.
What is 150,000 to 400,000/mm3?
200
Encouraging children to verbalize their feelings allows the child to ___________________.
What is discuss their concerns and to decrease children's feelings of isolation.
200
Mouth care for a child receiving chemotherapy includes __________________.
What is clean teeth with a soft toothbrush?
300
Manifestations of leukemia include_________________.
What are low-grade fever, pallor, bruising tendency, leg and joint pain, listlessness, abdominal pain, enlarged lymph nodes, anemia, gradual or sudden onset, liver & spleen enlargement, lemon-yellow skin, petechiae and purpura, anorexia, vomiting, weight loss and dyspnea.
300
Signs of circulatory overload in a child are _______________.
What are dyspnea, precordial pain, rales, cyanosis, dry cough and distended neck veins.
300
Neutropenia increases the risk for _______________.
What is infection?
300
Concept of death for children
What are the following: Infant--does not understand; preschooler thinks death is temporary; school age child realizes death is final; adolescent can understand abstract concept of death but has feelings of own immortality, may express anger at death of sibling.
300
Assessment findings for a child with peripheral neuropathy include________________________.
What is severe constipation? Peripheral neuropathy may be signaled by severe constipation resulting from decreased nerve sensations in the bowel.
400
Malignancy of lymph system; Presence of giant multinucleated cells called Reed-Sternberg cells.
What is Hodgkin's disease?
400
Nursing actions for circulatory overload include _______________________.
What are being prepared to administer medications and supplemental oxygen.
400
Thrombocytopenia
What is low platelets?
400
Nurses role in helping the family cope with a dying child include:
What is listening, providing privacy, provide therapeutic intervention, provide information, use appropriate phrases and open-ended questions.
400
Hepatomegaly, jaundice, protruding teeth, pathological fractures, cardiac failure are ___________________.
What are signs of thalassemia major?
500
Criteria for Staging Hodgkin's Disease
What is 1. Restricted to single site or localized in a group of lymph nodes; asymptomatic. 2. Involves two or more lymph nodes in area or on same side of diaphragm. 3. Involves lymph node regions on both sides of diaphragm; involves adjacent organs or spleen. 4. Is diffuse disease; least favorable prognosis.
500
______________ is never added to blood.
What are Medications?
500
Goal of care for children with Thalassemia are to maintain hemoglobin levels at __________________.
What is 9.5 g/dL?
500
Principle nurse should teach the parent concerning administering liquid iron preparations to the child with iron deficiency anemia.
What is administer between meals?
500
Antiemetics
What are given 30 minutes before treatment. Regularly schedule antiemetics reduce discomfort of nausea and vomiting.
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