ALL
Which foods would a child with leukemia avoid?
- Mac & Cheese
- Baked Sweet Potatoes
- Roast Chicken
- Medium Rare Steak
What is medium rare steak?
This type of CHD is classified as a mixed defect in which the aorta is undersized and the left ventricle is either absent or underdeveloped.
What is Hypoplastic Left Heart Syndrome?
Croup is caused by _______.
What is swelling/inflammation in the upper airway due to an infection?
Name the abnormal type of hemoglobin that gives sickle cells their shape.
What is Hemoglobin S?
True/False: CF is an inherited respiratory disorder.
What is true?
What factors are most important for determining the prognosis of a child with ALL?
- Gender & Race
- Treatment choice and location of hospital
- Age @ diagnosis and initial WBC count
- Hct and Hgb levels
What are age @ diagnosis and initial WBC count.
HLHS is considered incompatible with life if there is no formation of an atrial septal defect, there is no patent foramen ovale or this opening between the aorta and pulmonary artery is closed.
What is the patent ductus arteriosus?
Signs & Symptoms of croup include _____.
(Must name 4 to get the points)
What are:
- Loud, bark-like cough
- Anxiety
- Fever
- Hoarse voice
- Labored breathing
- Runny nose/congestion
Name the definitive diagnostic test for SCD.
What is Hemoglobin Electrophoresis?
Which organ(s) is(are) affected by CF?
- Lungs
- Liver
- Pancreas
- All of the above
What is all of the above?
A new graduate RN has started her residency on the Onco floor. Which of the following statements demonstrates her understanding of ALL?
- Patients with ALL have so many WBCs, they must be great at fighting infection.
- Lymphoblasts are immature WBCs that can't provide the immune support needed by the body.
- There is an overproduction of all cells in ALL, so patients rarely have issues with anemia.
- Surgery is the primary treatment for ALL.
What is lymphoblasts are immature WBCs that can't provide the immune support needed by the body?
In HLHS, this synthetic medication is vital for life and preserving oxygenation of the blood.
What are prostiglandins?
Pharmacological treatments include these two main drugs.
What are corticosteroid (Dexamethasone)
Name the most common cause of hospitalization in children with SCD.
What is vaso-occlusive crisis?
Which of the following are symptoms of CF? Select all that apply.
- Salty-tasting skin
- Frequent growth spurts
- Frequent lung infections
- Poor weight gain
- Heart palpitations
What are:
- Salty-tasting skin
- Frequent lung infections
- Poor weight gain
Which diagnostic procedures are appropriate for ALL? Select all that apply.
- LP
- CBC
- Bone Marrow Aspirate
- Ultrasound
- Brain MRI
What is LP, CBC, and Bone Marrow Aspirate?
Beyond the option for cardiac transplantation, looking specifically at palliative care for a patient with HLHS, there are this many procedures occurring in the first 2-3 years of life.
What is three?
Techniques to comfort and console a child with croup include _____.
(Must list at least 4 to get the points)
What are:
- Keeping the child calm to decrease coughing/crying.
- Distraction with favorite activities like singing, toys, or holding them.
- Humidified cool air.
- Sitting upright.
- Hydration.
- Rest
What is a low-oxygen environment?
A nurse is providing discharge teaching for a child who has CF. Which of the following instructions should the nurse include?
- Provide low-calorie, low-protein diet
- Administer pancreatic enzyme capsules with meals and snacks
- Implement a fluid restriction during times of infection
- Restrict physical activity
What is administer pancreatic enzymes capsules with meals and snacks?
Which gland serves as a common site for lymphoblast accumulation?
- Thymus
- Pituitary
- Adrenal
- Thyroid
What is the thymus?
By the 2nd or 3rd year of life for a patient with HLHS, this final procedure connects the inferior vena cava and superior vena cava to the pulmonary artery allowing venous blood to shunt directly into the lungs without going through the ventricle.
What is the Fontan Procedure?
Croup generally lasts _____ and symptoms are worse _____.
What is 3-5 days AND at night?
Name a possible complication of SCD that should be managed prophylactically.
What is infection?
A nurse is admitting a child with CF. Which of the following medications should the nurse anticipate administering?
(Must get all for the points)
- Albuterol
- Oral glycemic medications
- Fat-soluble vitamins
- Water-soluble vitamins
- Gentamicin
What are:
- Albuterol
- Fat-Soluble Vitamins
- Gentamicin